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CH09157Z NEVADA HEALTH CENTERS, INC. (Terminated)
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Main Details
Name
NEVADA HEALTH CENTERS, INC.
Subdivision Name
CRESCENT VALLEY MEDICAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007277
340B ID
CH09157Z
Grant Number
H80CS00818
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2000
Participating Start Date
10/1/2000
Participating Approval Date
1/21/2010
Last Recertification Date
2/1/2017
Termination Date
Termination Reason
10/1/2017
Site closure
Contacts
Authorizing Official
Nevada Health Centers, Inc.
Kathryn Triplett, CFO
(775) 888-6632
Primary Contact
Nevada Health Centers, Inc.
STEPHANIE INGREY, Pharmacy Director
(775) 887-1590 Ext: 1123
Addresses
Street Address
5043 TENABO AVENUE
CRESCENT VALLEY, NV 89821
Billing Address
Nevada Health Centers Inc.
3325 Research Way
Carson City, NV 89706-7913
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/21/05 UPDATED ENTITY NAME
01/21/2010
May 2025
May 2025
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