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CH10297T ROGUE COMMUNITY HEALTH (Active)
Main Details
Name
ROGUE COMMUNITY HEALTH
Subdivision Name
Administration
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036863
340B ID
CH10297T
Grant Number
H80CS04204
Contacts
Authorizing Official
Rogue Community Health
WIlliam North, CEO
(541) 223-3172
Primary Contact
Rogue Community Health
Amy Renee Cervan, Senior Director of Pharmacy
(541) 441-3930
Additional Details
Current Program Status
Active
Registration Date
1/10/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/11/2024
Last Recertification Date
Addresses
Street Address
1221 Disk Dr
Medford, OR 97501-6638
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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