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CH09718K PEACH TREE HEALTHCARE (Active)
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Main Details
Name
PEACH TREE HEALTHCARE
Subdivision Name
Peach Tree North Sacramento
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018261
340B ID
CH09718K
Grant Number
H80CS06629
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/18/2016
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Peach Tree Healthcare
Michelle Marie Woodard, Administrative Service Officer\ Interim CEO
(530) 741-6245 Ext: 1351
Primary Contact
Peach Tree Healthcare
Veronica Avila, Controller
(530) 741-6245 Ext: 1305
Addresses
Street Address
3810 Rosin Court
Suite 100
Sacramento, CA 95834
Billing Address
Peach Tree Healthcare
1114 Yuba Street
Suite 220
Marysville, CA 95901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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