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CH0811510 SPECTRA HEALTH (Active)
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Main Details
Name
SPECTRA HEALTH
Subdivision Name
Spectra Health Admin Office
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017637
340B ID
CH0811510
Grant Number
H80CS01808
Additional Details
Current Program Status
Active
Registration Date
6/1/2007
Participating Start Date
7/1/2007
Participating Approval Date
6/5/2007
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Spectra Health
Tiffany Schmidt, CFO
(701) 757-2100 Ext: 2002
Primary Contact
Spectra Health
Kelsey Gunderson, Accounting & Payroll Specialist
(701) 757-2100 Ext: 2026
Addresses
Street Address
212 South 4th Street, Suite 200
Grand Forks, ND 58201-0160
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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