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FQHCLA431E VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Subdivision Name
Children's Clinic at Sheridan
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-032969
340B ID
FQHCLA431E
Grant Number
LALCS45056
Additional Details
Current Program Status
Active
Registration Date
12/6/2021
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
521 N 2nd St
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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