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CH103100 UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health (Active)
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Main Details
Name
UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
Subdivision Name
Umpqua Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008886
340B ID
CH103100
Grant Number
H80CS00567
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
3/18/2005
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Umpqua Community Health Center, Inc., dba Aviva Health
Leah Woods, Chief Financial Officer
(541) 672-9596 Ext: 120
Primary Contact
Umpqua Community Health Center
Shannon Davis, 340B Program Manager
(541) 672-9596 Ext: 403
Addresses
Street Address
150 NE Kenneth Ford Drive
Roseburg, OR 97470
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/11/10 UPDATED ADDR (WAS 544 W. UMPQUA);2/12/09 UPDATED ADDR(WAS ZIP: 97470)
06/11/2010
April 2025
April 2025
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