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CH10792M COUNTY OF LANE (Active)
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Main Details
Name
COUNTY OF LANE
Subdivision Name
Charnelton Community Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011185
340B ID
CH10792M
Grant Number
H80CS01443
Additional Details
Current Program Status
Active
Registration Date
8/31/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/18/2009
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Lane County
Eve Gray, H&HS Director
(541) 682-3942
Primary Contact
County of Lane
Juan Rivera, Program Services Coordinator II
(541) 731-4439
Addresses
Street Address
151 W 7th Ave STE 100
Eugene, OR 97401-2676
Billing Address
CHC OF LANE COUNTY
2073 OLYMPIC STREET
SPRINGFIELD, OR 97477
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/24/11 UPDATED BILL TO (WAS 1640 G STREET, SPRINGFIELD, OR); 11/16/09 UPDATED BILL TO(WAS 125 EAST 8TH AVE, EUGENE, OR)
03/24/2011
June 2025
June 2025
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