340B Drug Pricing Program Database
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CHC28990-13 Riverside, County of (Terminated)
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Main Details
Name
Riverside, County of
Subdivision Name
Blythe Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034014
340B ID
CHC28990-13
Grant Number
H80CS28990
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/18/2022
Last Recertification Date
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
RUHS
Leah Patterson, Chief Nursing Officer
(951) 486-7532
Primary Contact
RUHS
Davalyn Tidwell, Pharmacy Director
(951) 486-4527
Addresses
Street Address
1297 W Hobsonway Ste 100
Blythe, CA 92225-1423
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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