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CH09047Z GOLDEN VALLEY HEALTH CENTERS (Terminated)
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Main Details
Name
GOLDEN VALLEY HEALTH CENTERS
Subdivision Name
GVHC Mobile Unit - Le Grand
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001725
340B ID
CH09047Z
Grant Number
H80CS00742
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/25/2016
Last Recertification Date
2/9/2024
Termination Date
Termination Reason
10/1/2024
Site closure
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
13161 JEFFERSON ST
LE GRAND, CA 95333-9766
Billing Address
Golden Valley Health Centers
737 West Childs Ave
Merced, CA 95341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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