340B Drug Pricing Program Database

Name

TILLAMOOK, COUNTY OF

Subdivision Name

TILLAMOOK COUNTY CLOVERDALE CLINIC

Type

HRSA-Funded Health Center

Site ID

BPS-H80-003522

340B ID

CH10236C

Grant Number

H80CS00555

Current Program Status

Terminated

Registration Date

7/1/2004

Participating Start Date

7/1/2004

Participating Approval Date

5/12/2004

Last Recertification Date

2/27/2019

Termination Date
Termination Reason

4/1/2020
Site closure

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

Street Address

34335 HIGHWAY 101 S.
CLOVERDALE, OR 97112-9400

Billing Address

TILLAMOOK COUNTY HEALTH DEPARTMENT
PO BOX 489
TILLAMOOK, OR 97141