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CH09021AA Gardner Family Health Network, Inc. (Active)
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Main Details
Name
Gardner Family Health Network, Inc.
Subdivision Name
Gardner Specialty Service Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027779
340B ID
CH09021AA
Grant Number
H80CS00359
Additional Details
Current Program Status
Active
Registration Date
7/10/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/29/2019
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
160 E Virginia St
San Jose, CA 95112-5857
Billing Address
GARDNER FAMILY HEALTH NETWORK INC
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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