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CH09110D VALLEY HEALTH TEAM, INC. (Terminated)
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Main Details
Name
VALLEY HEALTH TEAM, INC.
Subdivision Name
Valley Smiles
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010454
340B ID
CH09110D
Grant Number
H80CS00525
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/21/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Valley Health Team, Inc
Soyla Griffin, Chief Executive Officer
(559) 693-2462 Ext: 2943
Primary Contact
Valley Health Team, Inc.
Petrus Tjandra, Vice President of Special Projects and Facilities
(559) 364-2958
Addresses
Street Address
21890 W. Colorado Ave
San Joaquin, CA 93660-9773
Billing Address
Valley Health Team, Inc
P.O. Box 737
San Joaquin, CA 93660-0737
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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