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CH09175K MOUNTAIN VALLEYS HEALTH CENTERS (Active)
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Main Details
Name
MOUNTAIN VALLEYS HEALTH CENTERS
Subdivision Name
Mt. Shasta Alternative Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039683
340B ID
CH09175K
Grant Number
H80CS00260
Additional Details
Current Program Status
Active
Registration Date
1/29/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/29/2025
Last Recertification Date
Contacts
Authorizing Official
Mountain Valleys Health Centers
Shannon Gerig, CEO
(530) 999-9010
Primary Contact
Mountain Valleys Health Centers
Brandon Watkins, Chief Financial Officer
(530) 249-6857
Addresses
Street Address
701 Pine St
Mount Shasta, CA 96067-2133
Billing Address
Mountain Valleys Health Centers
PO Box 277
Bieber, CA 96009-0277
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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