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CH09364AT Family Healthcare Network (Terminated)
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Main Details
Name
Family Healthcare Network
Subdivision Name
Family HealthCare Network - Fresno Shields
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030043
340B ID
CH09364AT
Grant Number
H80CS00786
Additional Details
Current Program Status
Terminated
Registration Date
2/19/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/16/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
Family HealthCare Network
Kerry Hydash, President and CEO
(559) 737-4700
Primary Contact
Family HealthCare Network
Chad Vawter, Deputy CEO and Senior Vice President
(559) 737-4700
Addresses
Street Address
3505 E Shields Ave
Fresno, CA 93726-6910
Billing Address
Family HealthCare Network
305 E Center Ave
Visalia, CA 93291
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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