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FQHC63829B GILA RIVER HEALTH CARE CORPORATION (Active)
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Main Details
Name
GILA RIVER HEALTH CARE CORPORATION
Subdivision Name
HAU'PAL HEALTH CENTER
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC63829B
Additional Details
Current Program Status
Active
Registration Date
7/11/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/3/2018
Last Recertification Date
2/4/2024
Contacts
Authorizing Official
Gila River Health Care
Judith Roth, CFO
(602) 528-1172
Primary Contact
Gila River Health Care
MEENA BHARGAVA, PHARMACY DIRECTOR
(602) 528-1200 Ext: 1115
Addresses
Street Address
3042 W. QUEEN CREEK ROAD
CHANDLER, AZ 85286
Billing Address
GILA RIVER HEALTH CARE CORPORATION
PO BOX 38
SACATON, AZ 85147
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2024
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