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CHC28990-11 Riverside County Health System (Active)
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Main Details
Name
Riverside County Health System
Subdivision Name
Perris Valley Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027874
340B ID
CHC28990-11
Grant Number
H80CS28990
Additional Details
Current Program Status
Active
Registration Date
7/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/29/2019
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
RUHS
Leah Patterson, Chief Nursing Officer
(951) 486-7532
Primary Contact
RUHS
Davalyn Tidwell, Pharmacy Director
(951) 486-4527
Addresses
Street Address
450 E San Jacinto Ave
Perris, CA 92571-2833
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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