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CH107200 COLUMBIA RIVER COMMUNITY HEALTH SERVICES (Active)
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Main Details
Name
COLUMBIA RIVER COMMUNITY HEALTH SERVICES
Subdivision Name
Columbia River Community Health Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010133
340B ID
CH107200
Grant Number
H80CS04207
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
3/15/2005
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Columbia River Health
Sheila Corpus Corpus, CEO
(541) 481-7212
Primary Contact
columbia river health
Andy Cemore, Pharmacist in charge
(402) 514-7702
Addresses
Street Address
450 Tatone Street
Boardman, OR 97818-9735
Billing Address
COLUMBIA RIVER COMMUNITY HEALTH SERVICES
PO BOX 397
BOARDMAN, OR 97818-0397
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 04/01/2005
11/11/2008
April 2025
April 2025
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