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CH0911800 SHINGLETOWN MEDICAL CENTER (Active)
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Main Details
Name
SHINGLETOWN MEDICAL CENTER
Subdivision Name
SHINGLETOWN MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002809
340B ID
CH0911800
Grant Number
H80CS01440
Additional Details
Current Program Status
Active
Registration Date
7/1/2004
Participating Start Date
7/1/2004
Participating Approval Date
6/1/2004
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Shingletown Medical Center
Tami Fraser, CEO
(530) 474-3390 Ext: 307
Primary Contact
Shingletown Medical Center
Tammy Rizzi, Business Office Manager
(530) 474-3390
Addresses
Street Address
31292 Alpine Meadows Rd
Shingletown, CA 96088-9462
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 07/01/2004
07/01/2004
April 2025
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