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CH10236B TILLAMOOK, COUNTY OF (Active)
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Main Details
Name
TILLAMOOK, COUNTY OF
Subdivision Name
ROCKWAY BEACH CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005330
340B ID
CH10236B
Grant Number
H80CS00555
Additional Details
Current Program Status
Active
Registration Date
7/1/2004
Participating Start Date
7/1/2004
Participating Approval Date
5/12/2004
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Tillamook County Community Health Centers
Marlene Putman, Local Health Administrator
(503) 842-3922
Primary Contact
Tillamook County Health Department
Irene M Fitzgerald, Chief Financial Officer
(503) 842-3929
Addresses
Street Address
276 S Highway 101
Rockaway Beach, OR 97136-9657
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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5/23/2008-UPDATED ADD. (WAS 111 SOUTH MILLER STREET);NEW SITE 07/01/2004
01/21/2010
April 2025
April 2025
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