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FP86314 ARIZONA FAMILY HEALTH PARTNERSHIP (Active)
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Main Details
Name
ARIZONA FAMILY HEALTH PARTNERSHIP
Subdivision Name
COMMUNITY HEALTH CENTER OF YAVAPAI- PRESCOTT VALLEY CLINIC
Type
Family Planning (Title X only)
340B ID
FP86314
Grant Number
FPHPA006520
Additional Details
Current Program Status
Active
Registration Date
4/2/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/23/2024
Last Recertification Date
Contacts
Authorizing Official
Yavapai, County of
Leslie Horton, Director, Health Officer
(928) 442-5303
Primary Contact
Yavapai, County of
Sharon Hemerka, 340B Drug Program Coordinator
(928) 583-1000
Addresses
Street Address
3212 N WINDSONG DRIVE
PRESCOTT VALLEY, AZ 86314
Billing Address
COMMUNITY HEALTH CENTER OF YAVAPAI - PRESCOTT CLINIC
1090 COMMERCE DRIVE
PRESCOTT, AZ 86305
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (07/1/2002) until terminated effective date: (07/1/2022); reinstatement effective date: (07/1/2024)
04/17/2024
April 2025
April 2025
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