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CH09047W GOLDEN VALLEY HEALTH CENTERS (Terminated)
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Main Details
Name
GOLDEN VALLEY HEALTH CENTERS
Subdivision Name
GVHC-Florida North
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014047
340B ID
CH09047W
Grant Number
H80CS00742
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/13/2016
Last Recertification Date
2/7/2023
Termination Date
Termination Reason
1/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Golden Valley Health Centers
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Primary Contact
Golden Valley Health Centers
Trisha Ramirez, Director of Finance
(209) 384-6524
Addresses
Street Address
1540 FLORIDA AVE
MODESTO, CA 95350-4430
Billing Address
GOLDEN VALLEY HEALTH CENTERS
737 West Childs Avenue
Merced, CA 95341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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