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CH101310 CLACKAMAS, COUNTY OF (Active)
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Main Details
Name
CLACKAMAS, COUNTY OF
Subdivision Name
Clackamas Health Centers Administration
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005297
340B ID
CH101310
Grant Number
H80CS00547
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/4/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Clackamas County
Sarah Ann Jacobson, Health Center Administration & Financial Services Manager
(503) 201-1890
Primary Contact
Clackamas County Health Centers
Adam Kearl, Admin Services Manager
(971) 276-5002
Addresses
Street Address
2051 Kaen Road STE 367
Oregon City, OR 97045-4035
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/10/10 UPDATED ENTITY NAME (WAS CLACKAMAS COUNTY PUBLIC HEALTH DIVISION), UPDATED SUB-DIV NAME (WAS ADMINISTRATIVE SITE), UPDATED PHY ADD (WAS 421 HIGH STREET, SUITE 222)
11/10/2010
April 2025
April 2025
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