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CH09047K GOLDEN VALLEY HEALTH CENTER (Active)
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Main Details
Name
GOLDEN VALLEY HEALTH CENTER
Subdivision Name
GVHC - Hanshaw
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004207
340B ID
CH09047K
Grant Number
H80CS00742
Additional Details
Current Program Status
Active
Registration Date
7/1/1999
Participating Start Date
7/1/1999
Participating Approval Date
12/14/2003
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
1717 LAS VEGAS ST
MODESTO, CA 95358
Billing Address
GOLDEN VALLEY HEALTH CENTER ADMIN OFFICE
737 WEST CHILDS AVENUE
MERCED, CA 95341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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