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CH10163P VALLEY FAMILY HEALTH CARE INC (Active)
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Main Details
Name
VALLEY FAMILY HEALTH CARE INC
Subdivision Name
Fortner Neighborhood Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033438
340B ID
CH10163P
Grant Number
H80CS00556
Additional Details
Current Program Status
Active
Registration Date
10/4/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/12/2023
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Valley Family Health Care
Ben Murray, COO
(208) 642-7364
Primary Contact
Valley Family Health Care
Ken Frahm, Pharmacy Program Service Manager
(208) 642-9376
Addresses
Street Address
896 Fortner St
Ontario, OR 97914
Billing Address
Valley Family Health Care
1441 NE 10th AVE STE
Payette, ID 83661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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