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CH09110N VALLEY HEALTH TEAM, INC. (Active)
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Main Details
Name
VALLEY HEALTH TEAM, INC.
Subdivision Name
Bishop Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031457
340B ID
CH09110N
Grant Number
H80CS00525
Additional Details
Current Program Status
Active
Registration Date
7/13/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/15/2022
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Valley Health Team, Inc
Soyla Griffin, Chief Executive Officer
(559) 693-2462 Ext: 2943
Primary Contact
Valley Health Team, Inc.
Petrus Tjandra, Vice President of Special Projects and Facilities
(559) 364-2958
Addresses
Street Address
459 W Line St Ste B
Bishop, CA 93514-3333
Billing Address
Valley Health Team, Inc.
P.O. BOX 737
San Joaquin, CA 93660
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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