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CH09056AQ UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (Active)
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Main Details
Name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Subdivision Name
United Health Centers Mendota Barboza 119 Building 1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038587
340B ID
CH09056AQ
Grant Number
H80CS00137
Additional Details
Current Program Status
Active
Registration Date
7/9/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/10/2024
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
United Health Centers
Navjot Singh, Contracting & Managed Care Officer
(559) 646-6618 Ext: 0039
Primary Contact
United Health Centers of the San Joaquin Valley
Hailey Smith, 340B Program Manager
(559) 646-6618 Ext: 2067
Addresses
Street Address
119 Barboza St
Mendota, CA 93640-1901
Billing Address
United Health Centers of the San Joaquin Valley
3875 W Beechwood Ave
Fresno, CA 93711-0795
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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