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CH09021T GARDNER FAMILY HEALTH NETWORK, INC. (Active)
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Main Details
Name
GARDNER FAMILY HEALTH NETWORK, INC.
Subdivision Name
MOBILE UNIT 2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006554
340B ID
CH09021T
Grant Number
H80CS00359
Additional Details
Current Program Status
Active
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/28/2015
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Gardner Family Health Network
Corina B Clark, Chief Operational Officer
(669) 306-0060
Primary Contact
Gardner Family Health Network
Thuy-Trang Nu Ha, Pharmacy Director
(408) 918-2613
Addresses
Street Address
1621 GOLD ST
ALVISO, CA 95002-1240
Billing Address
GARDNER FAMILY HEALTH NETWORK, INC.
1621 GOLD ST
PO BOX 1240
ALVISO, CA 95002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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