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FQHC638409 CONSOLIDATED TRIBAL HEALTH PROJECT (Active)
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Main Details
Name
CONSOLIDATED TRIBAL HEALTH PROJECT
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638409
Additional Details
Current Program Status
Active
Registration Date
4/4/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/7/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Consolidated Tribal Helth Project
MARY ANN GONZALEZ, ACTING DIRECTOR
(707) 485-5115 Ext: 5634
Primary Contact
Consolidated Tribal Health Project
Karen Shepherd, PRC Director
(707) 467-5617
Addresses
Street Address
6991 N. STATE STREET
REDWOOD VALLEY, CA 95470
Billing Address
CONSOLIDATED TRIBAL HEALTH PROJECT, INC
Attn: Finance
PO BOX 387
Calpella, CA 95418
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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4/7/17 Participating from 1/1/2011 until terminated effective 4/1/2017, reinstated effective 07/01/2017
04/07/2017
April 2025
April 2025
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