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CH10310F 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
Myrtle Creek Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007926
340B ID
CH10310F
Grant Number
H80CS00567
Additional Details
Current Program Status
Active
Registration Date
2/11/2009
Participating Start Date
4/1/2009
Participating Approval Date
2/12/2009
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
790 S Main St
Myrtle Creek, OR 97457-9303
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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