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CH10257G COMMUNITY HEALTH ASSOCIATION OF SPOKANE (Active)
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Main Details
Name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Subdivision Name
North County Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003016
340B ID
CH10257G
Grant Number
H80CS00319
Additional Details
Current Program Status
Active
Registration Date
11/21/2005
Participating Start Date
11/21/2005
Participating Approval Date
11/21/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
CHAS Health
John Michael Browne, CFO
(509) 444-8888
Primary Contact
CHAS
Blair Rossow, VP of Pharmacy Operations
(509) 444-8888 Ext: 40436
Addresses
Street Address
401 S. MAIN ST
DEER PARK, WA 99006
Billing Address
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
611 N. Iron Bridge Way
SPOKANE, WA 99202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/7/2010- AMDP-NETWORK-CHAS PHARMACY NETWORK; 6/19/09 MEDI/NPI # ADDED
01/14/2011
4/7/2010- AMDP-NETWORK-CHAS PHARMACY NETWORK; 6/19/09 MEDI/NPI # ADDED
01/14/2011
April 2025
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