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CH091181L SANTA CLARA, COUNTY OF (Terminated)
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Main Details
Name
SANTA CLARA, COUNTY OF
Subdivision Name
Valley Health Center Lenzen
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000680
340B ID
CH091181L
Grant Number
H80CS01442
Additional Details
Current Program Status
Terminated
Registration Date
3/6/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/9/2009
Last Recertification Date
2/22/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Primary Contact
Santa Clara Valley Health and Hospital System
Jennefer Yoon, Assistant Director of Pharmacy
(408) 885-7636
Addresses
Street Address
976 Lenzen Ave
Suite 1500B
San Jose, CA 95126-2737
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/9/12-Changed authorizing official (was MICHAEL LIPMAN, CEO) and contact person (was JENNEFER YOON, ASSISTANT DIRECTOR OF PHARMACY) added Medicaid #
03/09/2012
May 2025
May 2025
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