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CH09047BK GOLDEN VALLEY HEALTH CENTERS (Approved)
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Main Details
Name
GOLDEN VALLEY HEALTH CENTERS
Subdivision Name
GVHC - West Modesto Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039594
340B ID
CH09047BK
Grant Number
H80CS00742
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/29/2025
Last Recertification Date
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
1008 6th St, Ste A
Modesto, CA 95354-2209
Billing Address
Golden Valley Clinics Corporate
1910 Customer Care Way
atwater, CA 95301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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