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CH10792B COUNTY OF LANE (Active)
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Main Details
Name
COUNTY OF LANE
Subdivision Name
Springfield Schools Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005048
340B ID
CH10792B
Grant Number
H80CS01443
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
7/9/2004
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Lane County
Eve Gray, H&HS Director
(541) 682-3942
Primary Contact
County of Lane
Juan Rivera, Program Services Coordinator II
(541) 731-4439
Addresses
Street Address
1050 10th St
Springfield, OR 97477-4003
Billing Address
CHC OF LANE COUNTY
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/24/11 UPDATED BILL-TO (WAS 1640 G STREET); 4/6/06 - NEW ADDR (WAS 875 - 7TH STREET), 7/9/2004 - CHANGE IN SATELLITE NAME, CONTACT INFO
03/24/2011
April 2025
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