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CH08003E VALLEY WIDE HEALTH SYSTEMS, INC. (Terminated)
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Main Details
Name
VALLEY WIDE HEALTH SYSTEMS, INC.
Subdivision Name
Alamosa Family Medical Center, VWHS Pharmacy, or Anti-Coagulation Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001418
340B ID
CH08003E
Grant Number
H80CS00134
Additional Details
Current Program Status
Terminated
Registration Date
8/1/1993
Participating Start Date
8/1/1993
Participating Approval Date
8/1/1993
Last Recertification Date
2/11/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Valley-Wide Health Systems, Inc.
JEANNE DARRICADES, PRESIDENT/CEO
(719) 589-5161
Primary Contact
Valley-Wide Health Systems, Inc.
Justin Hanel, Director of Pharmacy
(719) 589-3633
Addresses
Street Address
1710 1st St
Alamosa, CO 81101-2302
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/26/07 - UPDATED ENTITY NAME (WAS VALLEY WIDE HEALTH SERVICES)
12/20/2005
May 2025
May 2025
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