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CH052700 SAWTOOTH MOUNTAIN CLINIC INC (Active)
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Main Details
Name
SAWTOOTH MOUNTAIN CLINIC INC
Subdivision Name
SAWTOOTH MOUNTAIN CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003273
340B ID
CH052700
Grant Number
H80CS00496
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/1/2003
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Sawtooth Mountain Clinic
Kate Surbaugh, CEO
(218) 387-2330 Ext: 159
Primary Contact
Sawtooth Mountain Clinic, Inc
Jeff Stoddard, CFO
(218) 387-2330
Addresses
Street Address
513 5th Ave W
Grand Marais, MN 55604-3017
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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