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CH09021E Gardner Family Health Network, Inc. (Active)
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Main Details
Name
Gardner Family Health Network, Inc.
Subdivision Name
ST. JAMES HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000989
340B ID
CH09021E
Grant Number
H80CS00359
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
1/14/2005
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Gardner Family Health Network
Corina B Clark, Chief Operational Officer
(669) 306-0060
Primary Contact
Gardner Family Health Network
Thuy-Trang Nu Ha, Pharmacy Director
(408) 918-2613
Addresses
Street Address
55 E Julian St
San Jose, CA 95112-4007
Billing Address
GARDNER FAMILY HEALTH NETWORK, INC.
1621 GOLD ST PO BOX 1240
ALVISO, CA 95002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/14/05 - MODIFIED ENTITY NAME, UPDATED CONTACT INFO - THIS RECORD NOW COMBINES THE HO09021E AND MH09021E RECORDS
06/08/2007
May 2025
May 2025
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