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CH09056M UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (Active)
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Main Details
Name
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Subdivision Name
UNITED HEALTH CENTERS FOWLER Main Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015642
340B ID
CH09056M
Grant Number
H80CS00137
Additional Details
Current Program Status
Active
Registration Date
1/8/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/11/2016
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
United Health Centers
Navjot Singh, Contracting & Managed Care Officer
(559) 646-6618 Ext: 0039
Primary Contact
United Health Centers of the San Joaquin Valley
Hailey Smith, 340B Program Manager
(559) 646-6618 Ext: 2067
Addresses
Street Address
106 E MAIN ST
FOWLER, CA 93625-2433
Billing Address
UNITED HEALTH CENTERS
3875 W. Beechwood Ave
Fresno, CA 93711
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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