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CH1010810 BENTON COUNTY (Active)
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Main Details
Name
BENTON COUNTY
Subdivision Name
BENTON HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000092
340B ID
CH1010810
Grant Number
H80CS02592
Additional Details
Current Program Status
Active
Registration Date
7/1/2004
Participating Start Date
7/1/2004
Participating Approval Date
7/1/2005
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
CHC of Benton and Linn Counties
Lacey A Mollel, Executive Director
(541) 766-6657
Primary Contact
CHC of Benton and Linn Counties
Necole Morris, Director of Pharmacy
(541) 766-6835
Addresses
Street Address
530 NW 27th St
Corvallis, OR 97330-5223
Billing Address
COMMUNITY HEALTH CENTERS OF BENTON AND LINN COUNTIES
PO BOX 579
CORVALLIS, OR 97339-0579
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/10/11 UPDATED ENTITY NAME (WAS BENTON COUNTY HEALTH DEPARTMENT)
01/10/2011
April 2025
April 2025
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