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CH081071A Northland Health Partners Community Health Center (Active)
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Main Details
Name
Northland Health Partners Community Health Center
Subdivision Name
McClusky Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007355
340B ID
CH081071A
Grant Number
H80CS00847
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/27/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Northland Community Health Center
Nadine Boe, CEO
(701) 448-2054 Ext: 7017204347
Primary Contact
Northland Health Partners Community Health Centers
Rachel Thomas, CFO
(701) 448-2054
Addresses
Street Address
122 2nd St NE
Mcclusky, ND 58463-9743
Billing Address
Northland Health Centers
PO Box 535
Turtle Lake, ND 58575
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/16/12 Changed AO from Faye Hagen and contact from Nikki Medalen. 12/27/04 ADDED BILL TO
03/16/2012
12/27/04 ADDED BILL TO
04/27/2010
May 2025
May 2025
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