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CH100150 Siskiyou Community Health Center, Inc. (Active)
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Main Details
Name
Siskiyou Community Health Center, Inc.
Subdivision Name
SISKIYOU COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010330
340B ID
CH100150
Grant Number
H80CS00369
Additional Details
Current Program Status
Active
Registration Date
5/31/2007
Participating Start Date
7/1/2007
Participating Approval Date
6/5/2007
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Siskiyou Community Health Center
Dawn Weber, Chief Executive Officer
(541) 472-4777 Ext: 1155
Primary Contact
Siskiyou Community Health Center
Brian Laubscher, Chief Compliance Officer
(541) 472-4713
Addresses
Street Address
1701 NW Hawthorne Avenue
Grants Pass, OR 97526-1257
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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