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CH101081G BENTON COUNTY (Active)
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Main Details
Name
BENTON COUNTY
Subdivision Name
East Linn Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004159
340B ID
CH101081G
Grant Number
H80CS02592
Additional Details
Current Program Status
Active
Registration Date
3/1/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/3/2008
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
CHC of Benton and Linn Counties
Lacey A Mollel, Executive Director
(541) 766-6657
Primary Contact
CHC of Benton and Linn Counties
Necole Morris, Director of Pharmacy
(541) 766-6835
Addresses
Street Address
100 Mullins Drive, STE A-1
Lebanon, OR 97355-2805
Billing Address
Community Health Centers of Benton and Linn Counties
PO BOX 579
CORVALLIS, OR 97339-0579
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/11/10 - UPDATED PHYS ADD (WAS 55 TWIN OAKS AVENUE, BUILDING A, LEBANON, OR), UPDATED ENTITY NAME (WAS BENTON COUNTY HEALTH DEPT)
01/10/2011
April 2025
April 2025
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