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CH09021Y GARDNER FAMILY HEALTH NETWORK, INC. (Active)
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Main Details
Name
GARDNER FAMILY HEALTH NETWORK, INC.
Subdivision Name
Gardner Packard Children's Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014013
340B ID
CH09021Y
Grant Number
H80CS00359
Additional Details
Current Program Status
Active
Registration Date
4/2/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/11/2015
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
3351 EL CAMINO REAL
100
ATHERTON, CA 94027-3811
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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