340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH09788F Petaluma Health Center, Inc. (Terminated)
Print
Main Details
Name
Petaluma Health Center, Inc.
Subdivision Name
Rohnert Park Vision Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021164
340B ID
CH09788F
Grant Number
H80CS00587
Additional Details
Current Program Status
Terminated
Registration Date
11/28/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/29/2017
Last Recertification Date
2/8/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Petaluma Health Center
Molly Jouaneh, Chief Financial Officer
(707) 559-7500
Primary Contact
Petaluma Health Center
Pedro Toledo, Chief Executive Officer
(707) 326-7551
Addresses
Street Address
4625 Redwood Drive, Suite A
Rohnert Park, CA 94928
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session