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CH091181C SANTA CLARA, COUNTY OF (Active)
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Main Details
Name
SANTA CLARA, COUNTY OF
Subdivision Name
Valley Health Center Gilroy
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007636
340B ID
CH091181C
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
7475 Camino Arroyo
Gilroy, CA 95020
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/24/12 Added ship to address. 5/5/09 MEDICAID NUMBER REMOVED (WAS FHC80080F); 3/16/09 STE # ADDED 10/7/2008-ADDR CHANGE (WAS 90 W HIGHLAND AVENUE, SAN MARTIN,95046)4/22/05 - ADMIN CORRECTION REPLACES FQ113D
04/24/2012
5/5/09 MEDICAID NUMBER REMOVED (WAS FHC80080F); 3/16/09 STE # ADDED 10/7/2008-ADDR CHANGE (WAS 90 W HIGHLAND AVENUE, SAN MARTIN,95046)4/22/05 - ADMIN CORRECTION REPLACES FQ113D
08/06/2009
May 2025
May 2025
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