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CHC28990-09 RIVERSIDE COUNTY HEALTH SYSTEM (Active)
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Main Details
Name
RIVERSIDE COUNTY HEALTH SYSTEM
Subdivision Name
Jurupa Valley Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027759
340B ID
CHC28990-09
Grant Number
H80CS28990
Additional Details
Current Program Status
Active
Registration Date
1/11/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/3/2016
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
RUHS
Leah Patterson, Chief Nursing Officer
(951) 486-7532
Primary Contact
RUHS
Davalyn Tidwell, Pharmacy Director
(951) 486-4527
Addresses
Street Address
8876 Mission Blvd
Jurupa Valley, CA 92509
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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