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CHC22682-00 ANDERSON VALLEY HEALTH CENTER (Active)
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Main Details
Name
ANDERSON VALLEY HEALTH CENTER
Subdivision Name
Anderson Valley Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010770
340B ID
CHC22682-00
Grant Number
H80CS22682
Additional Details
Current Program Status
Active
Registration Date
2/28/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/28/2014
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Anderson Valley Health Center
Chloe Guazzone, CEO
(707) 895-3477
Primary Contact
Anderson Valley Health Center
Cindy Novella, FNP
(707) 895-3477 Ext: 110
Addresses
Street Address
13500 Airport Rd
Boonville, CA 95415-9133
Billing Address
Anderson Valley Health Center
PO Box 338
Boonville, CA 95415
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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