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CH08003W VALLEY WIDE HEALTH SYSTEMS, INC. (Terminated)
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Main Details
Name
VALLEY WIDE HEALTH SYSTEMS, INC.
Subdivision Name
Valley-Wide Health Systems, Inc. - Carson Building
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017356
340B ID
CH08003W
Grant Number
H80CS00134
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/6/2016
Last Recertification Date
2/5/2019
Termination Date
Termination Reason
4/1/2019
Never implemented the 340B Program
Contacts
Authorizing Official
Valley-Wide Health Systems, Inc.
JEANNE DARRICADES, PRESIDENT/CEO
(719) 589-5161
Primary Contact
Valley-Wide Health Systems, Inc.
Justin Hanel, Director of Pharmacy
(719) 589-3633
Addresses
Street Address
204 Carson Avenue
Alamosa, CO 81101-2342
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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