340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHC638338 UPPER SKAGIT INDIAN TRIBE (Terminated)
Print
Main Details
Name
UPPER SKAGIT INDIAN TRIBE
Subdivision Name
The Upper Skagit Tribal Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638338
Additional Details
Current Program Status
Terminated
Registration Date
5/26/2006
Participating Start Date
1/1/2013
Participating Approval Date
12/26/2012
Last Recertification Date
2/22/2017
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
Jennifer Washington, Tribal Chairwoman
(360) 854-7070
Primary Contact
Thomas A. Calderon, Upper Skagit Tribal Clinic Physician
(360) 854-7070
Addresses
Street Address
25959 COMMUNITY PLAZA WAY
SEDRO WOOLLEY, WA 98284
Billing Address
UPPER SKAGIT INDIAN TRIBE
25944 COMMUNITY PLAZA WAY
SEDRO WOOLEY, WA 98284
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
12/26/12 reinstated based on new on-line registration, participating 7/1/06 thru 6/30/12, not participating 7/1/12 thru 12/31/12
12/26/2012
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session