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CH10163J 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 Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019710
340B ID
CH10163J
Grant Number
H80CS00556
Additional Details
Current Program Status
Active
Registration Date
6/13/2017
Participating Start Date
7/1/2017
Participating Approval Date
6/14/2017
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
1501 NE 10th Ave
Payette, ID 83661-5420
Billing Address
Valey Family Health Care
1441 NE 10th AVE
Payette, ID 83661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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