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CH09364Q FAMILY HEALTHCARE NETWORK (Active)
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Main Details
Name
FAMILY HEALTHCARE NETWORK
Subdivision Name
Family HealthCare Network - Tulare West Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015799
340B ID
CH09364Q
Grant Number
H80CS00786
Additional Details
Current Program Status
Active
Registration Date
10/7/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
Family HealthCare Network
Kerry Hydash, President and CEO
(559) 737-4700
Primary Contact
Family HealthCare Network
Chad Vawter, Deputy CEO and Senior Vice President
(559) 737-4700
Addresses
Street Address
263 S. West Street
Tulare, CA 93274
Billing Address
Family HealthCare Network
305 East Center Avenue
Visalia, CA 93291
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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