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FQHCLA431G Valley Health Partners Community Health Center (Terminated)
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Main Details
Name
Valley Health Partners Community Health Center
Subdivision Name
Community Smiles
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-035121
340B ID
FQHCLA431G
Grant Number
LALCS45056
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/4/2022
Last Recertification Date
2/14/2023
Termination Date
Termination Reason
10/1/2023
Site closure
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
1627 Chew Street
Dental
Allentown, PA 18104-3648
Billing Address
Valley Health Partners
400 N 17th Street
300
Allentown, PA 18104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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