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CH09047AT Golden Valley Health Centers (Active)
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Main Details
Name
Golden Valley Health Centers
Subdivision Name
Central Valley PACE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030930
340B ID
CH09047AT
Grant Number
H80CS00742
Additional Details
Current Program Status
Active
Registration Date
10/13/2020
Participating Start Date
10/26/2020
Participating Approval Date
10/16/2020
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
2401 E Orangeburg Ave Ste 330
Modesto, CA 95355-3396
Billing Address
Golden Valley Health Centers
737 W. Childs Avenue
Merced, CA 95341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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