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CH102360 TILLAMOOK, COUNTY OF (Active)
Main Details
Name
TILLAMOOK, COUNTY OF
Subdivision Name
TILLAMOOK COUNTY HEALTH DEPARTMENT
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004296
340B ID
CH102360
Grant Number
H80CS00555
Contacts
Authorizing Official
Tillamook County Community Health Centers
Marlene Putman, Local Health Administrator
(503) 842-3922
Primary Contact
Tillamook County Health Department
Irene Fitzgerald, Accounting Manager
(503) 842-3929
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
5/12/2004
Last Recertification Date
2/21/2024
Addresses
Street Address
801 Pacific Ave
Tillamook, OR 97141-3926
Billing Address
TILLAMOOK COUNTY HEALTH DEPARTMENT
PO BOX 489
TILLAMOOK, OR 97141
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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