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FQHC638292 GILA RIVER HEALTH CARE CORPORATION (Active)
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Main Details
Name
GILA RIVER HEALTH CARE CORPORATION
Subdivision Name
HU HU KAM MEMORIAL HOSPITAL
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638292
Additional Details
Current Program Status
Active
Registration Date
9/13/2007
Participating Start Date
10/1/2007
Participating Approval Date
9/14/2007
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Gila River Health Care
Judith Roth, CFO
(602) 528-1172
Primary Contact
Gila River Health Care
MEENA BHARGAVA, PHARMACY DIRECTOR
(602) 528-1200 Ext: 1115
Addresses
Street Address
483 W SEED FARM ROAD
SACATON, AZ 85147
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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9/12/08 ADDR MODIF (WAS SEED FARM AND CAREER CENTER ROADS); 3/27/08 ADDED SUB-DIVISION NAME
09/12/2008
June 2025
June 2025
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