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CH101630 VALLEY FAMILY HEALTH CARE INC (Active)
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Main Details
Name
VALLEY FAMILY HEALTH CARE INC
Subdivision Name
VALLEY FAMILY HEALTH CARE - Payette Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000990
340B ID
CH101630
Grant Number
H80CS00556
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
7/20/2005
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Valley Family Health Care
Ben Murray, COO
(208) 642-7364
Primary Contact
Valley Family Health Care
Ken Frahm, Pharmacy Program Service Manager
(208) 642-9376
Addresses
Street Address
1441 NE 10th Ave
Payette, ID 83661-5420
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/20/05 - NEW CONTACT; 7/20/07 - ADDED SUBDIVISION NAME
07/20/2007
April 2025
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