340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo
Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

FQHCLA311 Greater Fresno Health Organization (Active)

Main Details
Greater Fresno Health Organization
Kings Winery Medical Clinic
Health Center Program Look-Alike
BPS-LAL-009767
FQHCLA311
LALCS00041


Additional Details
Active
7/13/2018
10/1/2018
8/1/2018
1/29/2024

Contacts

GREATER FRESNO HEALTH ORGANIZATION
BLA MOUANOUTOUA, CEO
(559) 255-6476 Ext: 4290

Greater Fresno Health Organization
Torey Lam, 340B Manager
(808) 499-5491

Addresses

4929 E Kings Canyon Rd
Fresno, CA 93727-3812

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
1
 Item 1 to 1 of 1
Page:
of 1 Page size:
CommentLast Updated On 
1
 Item 1 to 1 of 1
Page:
of 1 Page size:
Participating from effective date (7/1/2013) until terminated effective date (4/1/2018), reinstatement date effective date (10/01/2018) 07/31/2018
  • NoFilter
  • Contains
  • DoesNotContain
  • StartsWith
  • EndsWith
  • EqualTo
  • NotEqualTo
  • GreaterThan
  • LessThan
  • GreaterThanOrEqualTo
  • LessThanOrEqualTo
  • Between
  • NotBetween
  • IsEmpty
  • NotIsEmpty
  • IsNull
  • NotIsNull
  • Custom