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CH097180 PEACH TREE CLINIC, THE, INC. (Active)
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Main Details
Name
PEACH TREE CLINIC, THE, INC.
Subdivision Name
Peach Tree Clinic, Inc
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004755
340B ID
CH097180
Grant Number
H80CS06629
Additional Details
Current Program Status
Active
Registration Date
11/23/2007
Participating Start Date
1/1/2008
Participating Approval Date
11/23/2007
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Peach Tree Healthcare
Michelle Marie Woodard, Administrative Service Officer\ Interim CEO
(530) 741-6245 Ext: 1351
Primary Contact
Peach Tree Healthcare
Veronica Avila, Controller
(530) 741-6245 Ext: 1305
Addresses
Street Address
5730 Packard Ave., STE 500
Marysville, CA 95901-7119
Billing Address
Peach Tree Health
1114 Yuba Street, Suite 220
Marysville, CA 95901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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