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CH09100AB NORTHEAST VALLEY HEALTH CORPORATION (Active)
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Main Details
Name
NORTHEAST VALLEY HEALTH CORPORATION
Subdivision Name
Sun Valley Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005001
340B ID
CH09100AB
Grant Number
H80CS00139
Additional Details
Current Program Status
Active
Registration Date
11/25/2008
Participating Start Date
1/1/2009
Participating Approval Date
11/25/2008
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Northeast Valley Health Corporation
Kimberly Wyard, Chief Executive Officer
(818) 898-1388 Ext: 41620
Primary Contact
Northeast Valley Health Corporation
Artashes R Khachatryan, Pharmacy Director/Primary Contact
(818) 365-8086 Ext: 50205
Addresses
Street Address
7223 N. Fair Ave.
Sun Valley, CA 91352
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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