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CH09047AD GOLDEN VALLEY HEALTH CENTERS (Active)
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Main Details
Name
GOLDEN VALLEY HEALTH CENTERS
Subdivision Name
GVHC - MANTECA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019526
340B ID
CH09047AD
Grant Number
H80CS00742
Additional Details
Current Program Status
Active
Registration Date
7/5/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Golden Valley Health Centers
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Primary Contact
Golden Valley Health Center
Peter Nabil Tawfik, Senior Director of Pharmacy
(209) 628-7348
Addresses
Street Address
250 Northgate Drive
Manteca, CA 95336-3161
Billing Address
Golden Valley Health Centers
737 West Childs Avenue
Merced, CA 95341-6862
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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