Covered Entity Details

CH09364J FAMILY HEALTHCARE NETWORK (Active)

Main Details

Name

FAMILY HEALTHCARE NETWORK

Subdivision Name

FAMILY HEALTHCARE NETWORK - GOSHEN HEALTH CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-013841

340B ID

CH09364J

Grant Number

H80CS00786

Additional Details

Current Program Status

Active

Registration Date

11/17/2005

Participating Start Date

11/17/2005

Participating Approval Date

11/17/2005

Last Recertification Date

3/4/2025

Contacts

Authorizing Official

Family HealthCare Network
Kerry Hydash, President and CEO
(559) 737-4700

Primary Contact

Family HealthCare Network
Chad Vawter, Deputy CEO and Senior Vice President
(559) 737-4700

Addresses

Street Address

31180 Road 72
GOSHEN, CA 93291-9303

Billing Address

FAMILY HEALTHCARE NETWORK
305 East Center Avenue
VISALIA, CA 93291

Comment	Last Updated On
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4/11/12 - Changed billing address from 314 EAST CENTER AVENUE. 3/8/12-Changed billing addr (was 314 N MAIN ST PORTERVILLE, CA 93257) also changed contact person (LUPE VASQUEZ, MATERIALS MANAGER)	04/11/2012
3/8/12-Changed billing addr (was 314 N MAIN ST PORTERVILLE, CA 93257) also changed contact person (LUPE VASQUEZ, MATERIALS MANAGER)	03/08/2012

340B Drug Pricing Program Database