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CH09047Q GOLDEN VALLEY HEALTH CENTER (Terminated)
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Main Details
Name
GOLDEN VALLEY HEALTH CENTER
Subdivision Name
GVHC - Ceres
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005155
340B ID
CH09047Q
Grant Number
H80CS00742
Additional Details
Current Program Status
Terminated
Registration Date
2/28/2007
Participating Start Date
4/1/2007
Participating Approval Date
3/2/2007
Last Recertification Date
2/9/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
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
2760 THIRD STREET
CERES, CA 95307
Billing Address
GOLDEN VALLEY HEALTH CENTER ADMIN OFFICE
737 WEST CHILDS AVENUE
MERCED, CA 95341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/15/09 UPDATED ADDR(WAS ZIP:95350); 8/3/07 UPDATED ADDR(WAS ZIP: 95307)
01/12/2010
April 2025
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