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CH091650 LONG VALLEY HEALTH CENTER, INC (Active)
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Main Details
Name
LONG VALLEY HEALTH CENTER, INC
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003348
340B ID
CH091650
Grant Number
H80CS00524
Additional Details
Current Program Status
Active
Registration Date
10/26/2007
Participating Start Date
1/1/2008
Participating Approval Date
10/26/2007
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Long Valley Health Center
James Stewart, Executive Director
(707) 984-6131 Ext: 117
Primary Contact
Long Valley Health Center
Teresa Mandujano, Accountant
(707) 984-6131 Ext: 108
Addresses
Street Address
50 BRANSCOMB ROAD
LAYTONVILLE, CA 95454
Billing Address
LONG VALLEY HEALTH CENTER, INC
PO BOX 870
LAYTONVILLE, CA 95454
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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