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CH10076G NORTHWEST HUMAN SERVICES, INC. (Active)
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Main Details
Name
NORTHWEST HUMAN SERVICES, INC.
Subdivision Name
WEST SALEM CLINIC - MENTAL HEALTH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036090
340B ID
CH10076G
Grant Number
H80CS00148
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/8/2004
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Northwest Human Services, Inc.
Kimberly Ann Leathley, CEO
(503) 588-2831
Primary Contact
NW Human Services
Matthew John Emery, CFO
(503) 588-5828 Ext: 2834
Addresses
Street Address
1233 Edgewater St NW STE B
SALEM, OR 97304
Billing Address
NORTHWEST HUMAN SERVICES, INC.
681 CENTER STREET, NE
SALEM, OR 97301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 10/01/2004
10/02/2008
May 2025
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