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CH091181D SANTA CLARA, COUNTY OF (Active)
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Main Details
Name
SANTA CLARA, COUNTY OF
Subdivision Name
Valley Health Center Milpitas
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010255
340B ID
CH091181D
Grant Number
H80CS01442
Additional Details
Current Program Status
Active
Registration Date
7/1/2001
Participating Start Date
7/1/2001
Participating Approval Date
4/22/2005
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Primary Contact
Santa Clara Valley Health and Hospital System
Jennefer Yoon, Assistant Director of Pharmacy
(408) 885-7636
Addresses
Street Address
143 N. Main Street
Milpitas, CA 95035
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
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4/24/12 - Added ship to address. 3/9/12-Changed authorizing official (was MICHAEL LIPMAN, CEO) and contact person (was PHOEBE LI, ASSISTANT DIRECTOR OF PHARMACY). 2/8/12 - added suite # to address. 10/25/11 - Changed entity sub name from VALLEY HEALTH CENTER AT SILVERCREEK and address from 1620 east capitol expressway. 8/3/10 ADDED MEDICAID NUMBER; 5/5/09 MEDICAID NUMBER REMOVED (WAS PHA404740); 4/22/05 - ADMIN CORRECTION REPLACES FQ113F
04/24/2012
3/9/12-Changed authorizing official (was MICHAEL LIPMAN, CEO) and contact person (was PHOEBE LI, ASSISTANT DIRECTOR OF PHARMACY). 2/8/12 - added suite # to address. 10/25/11 - Changed entity sub name from VALLEY HEALTH CENTER AT SILVERCREEK and address from 1620 east capitol expressway. 8/3/10 ADDED MEDICAID NUMBER; 5/5/09 MEDICAID NUMBER REMOVED (WAS PHA404740); 4/22/05 - ADMIN CORRECTION REPLACES FQ113F
03/09/2012
2/8/12 - added suite # to address. 10/25/11 - Changed entity sub name from VALLEY HEALTH CENTER AT SILVERCREEK and address from 1620 east capitol expressway. 8/3/10 ADDED MEDICAID NUMBER; 5/5/09 MEDICAID NUMBER REMOVED (WAS PHA404740); 4/22/05 - ADMIN CORRECTION REPLACES FQ113F
02/08/2012
10/25/11 - Changed entity sub name from VALLEY HEALTH CENTER AT SILVERCREEK and address from 1620 east capitol expressway. 8/3/10 ADDED MEDICAID NUMBER; 5/5/09 MEDICAID NUMBER REMOVED (WAS PHA404740); 4/22/05 - ADMIN CORRECTION REPLACES FQ113F
10/25/2011
8/3/10 ADDED MEDICAID NUMBER; 5/5/09 MEDICAID NUMBER REMOVED (WAS PHA404740); 4/22/05 - ADMIN CORRECTION REPLACES FQ113F
08/03/2010
May 2025
May 2025
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