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CH10792R LANE COUNTY OREGON (Active)
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Main Details
Name
LANE COUNTY OREGON
Subdivision Name
Lane County Treatment Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031821
340B ID
CH10792R
Grant Number
H80CS01443
Additional Details
Current Program Status
Active
Registration Date
7/11/2024
Participating Start Date
10/1/2024
Participating Approval Date
9/10/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Lane County
Eve Gray, H&HS Director
(541) 682-3942
Primary Contact
County of Lane
Juan Rivera, Program Services Coordinator II
(541) 731-4439
Addresses
Street Address
432 W 11th Ave Ste 101
Eugene, OR 97401-3451
Billing Address
LANE COUNTY
125 E 8th Ave
EUGENE, OR 97401-2926
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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