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CH09047BG GOLDEN VALLEY HEALTH CENTERS (Active)
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Main Details
Name
GOLDEN VALLEY HEALTH CENTERS
Subdivision Name
GVHC Mobile Unit - Tenaya
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036438
340B ID
CH09047BG
Grant Number
H80CS00742
Additional Details
Current Program Status
Active
Registration Date
7/11/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/16/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Golden Valley Health Centers
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Primary Contact
Golden Valley Health Center
Peter Nabil Tawfik, Senior Director of Pharmacy
(209) 628-7348
Addresses
Street Address
2101 Tenaya Dr.
Modesto, CA 95354-3930
Billing Address
Golden Valley Health Centers
737 W Childs Ave
Merced, CA 95341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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