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CH09364AZ FAMILY HEALTHCARE NETWORK (Active)
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Main Details
Name
FAMILY HEALTHCARE NETWORK
Subdivision Name
Family HealthCare Network - Hanford 12th Avenue Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037882
340B ID
CH09364AZ
Grant Number
H80CS00786
Additional Details
Current Program Status
Active
Registration Date
2/21/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/22/2024
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Family HealthCare Network
Kerry Hydash, President and CEO
(559) 737-4700
Primary Contact
Family HealthCare Network
Chad Vawter, Deputy CEO and Senior Vice President
(559) 737-4700
Addresses
Street Address
939 S. 12th Avenue
Hanford, CA 93230-5506
Billing Address
Family HealthCare Network
305 East Center Avenue
Visalia, CA 93291
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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