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FQHCLA431B VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Subdivision Name
Community Health & Wellness Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-032971
340B ID
FQHCLA431B
Grant Number
LALCS45056
Additional Details
Current Program Status
Active
Registration Date
10/7/2021
Participating Start Date
1/1/2022
Participating Approval Date
12/7/2021
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Valley Health Partners Community Health Center
Veronica Gonzalez, Chief Executive Officer
(610) 969-2728
Primary Contact
Valley Health Partners
Jennifer L Cicconetti, Chief of Pharmacy
(610) 969-4979
Addresses
Street Address
1627 Chew St
STE CHWC
Allentown, PA 18102
Billing Address
Valley Health Partners Community Health Center
400 N 17th St.
STE 300
Allentown, PA 18104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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