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CH09718G PEACH TREE CLINIC, THE, INC. (Terminated)
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Main Details
Name
PEACH TREE CLINIC, THE, INC.
Subdivision Name
Peach Tree Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014382
340B ID
CH09718G
Grant Number
H80CS06629
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/16/2015
Last Recertification Date
1/25/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Peach Tree Healthcare
Greg Stone, CEO
(530) 741-6245 Ext: 1363
Primary Contact
Peach Tree Healthcare
Kay Sidhu, CFO
(530) 300-0308 Ext: 1360
Addresses
Street Address
470/480 Del Norte Avenue
Yuba City, CA 95991
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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