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CHC02325-00 INDIAN HEALTH CENTER OF SANTA CLARA VALLEY (Active)
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Main Details
Name
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Subdivision Name
INDIAN HEALTH CENTER OF SANTA CLARA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002338
340B ID
CHC02325-00
Grant Number
H80CS02325
Additional Details
Current Program Status
Active
Registration Date
1/8/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/26/2013
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Indian Health Center of Santa Clara Valley
Sonya Tetnowski, CEO
(408) 445-3400 Ext: 5000
Primary Contact
Indian Health Center of Santa Clara Valley
Aldon Wayne Scott, Director of Administrative Services/Compliance Officer
(408) 445-3400 Ext: 3730
Addresses
Street Address
1333 Meridian Ave
San Jose, CA 95125-5212
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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