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CH090210 GARDNER FAMILY HEALTH NETWORK, INC (Active)
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Main Details
Name
GARDNER FAMILY HEALTH NETWORK, INC
Subdivision Name
Alviso Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004836
340B ID
CH090210
Grant Number
H80CS00359
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
4/1/2007
Participating Approval Date
3/8/2007
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
1621 GOLD ST
ALVISO, CA 95002
Billing Address
GARDNER FAMILY HEALTH NETWORK
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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REINSTATED - ORIG PART 12/1/1992 THRU 9/30/2000, INELIGIBLE 10/1/2000 THRU 3/31/2007
06/08/2007
May 2025
May 2025
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