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CH09718E PEACH TREE CLINIC, THE, INC. (Terminated)
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Main Details
Name
PEACH TREE CLINIC, THE, INC.
Subdivision Name
Marysville Immediate Care Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008921
340B ID
CH09718E
Grant Number
H80CS06629
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/26/2013
Last Recertification Date
2/3/2020
Termination Date
Termination Reason
1/1/2021
Site closure
Contacts
Authorizing Official
Peach Tree Healthcare
Greg Stone, CEO
(530) 741-6245 Ext: 1363
Primary Contact
Peach Tree Healthcare
Kay Sidhu, CFO
(530) 300-0308 Ext: 1360
Addresses
Street Address
724 5th St
Marysville, CA 95901-5646
Billing Address
PEACH TREE HEALTHCARE
1114 YUBA STREET
SUITE 144
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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