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CH10310E UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health (Active)
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Main Details
Name
UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
Subdivision Name
GLIDE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007034
340B ID
CH10310E
Grant Number
H80CS00567
Additional Details
Current Program Status
Active
Registration Date
9/11/2007
Participating Start Date
10/1/2007
Participating Approval Date
9/12/2007
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Umpqua Community Health Center, Inc., dba Aviva Health
Leah Woods, Chief Financial Officer
(541) 672-9596 Ext: 120
Primary Contact
Umpqua Community Health Center
Shannon Davis, 340B Program Manager
(541) 672-9596 Ext: 403
Addresses
Street Address
20170 NORTH UMPQUA HIGHWAY
GLIDE, OR 97443
Billing Address
UMPQUA COMMUNITY HEALTH CENTER, Inc., dba Aviva Health
150 NE Kenneth Ford Drive
ROSEBURG, OR 97470
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/12/09 UPDATED BILL TO (WAS ZIP: 97470)
01/22/2010
April 2025
April 2025
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