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CH10291A KLAMATH HEALTH PARTNERSHIP, INC (Active)
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Main Details
Name
KLAMATH HEALTH PARTNERSHIP, INC
Subdivision Name
CHILOQUIN OPEN DOOR FAMILY PRACTICE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000776
340B ID
CH10291A
Grant Number
H80CS00233
Additional Details
Current Program Status
Active
Registration Date
11/10/2009
Participating Start Date
1/1/2010
Participating Approval Date
11/10/2009
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Klamath Health Partnership
Erich Koch, CEO
(541) 810-2040
Primary Contact
Klamath Health Partnership, Inc
Marcus Cox, Chief Pharmacy Officer
(541) 887-8188
Addresses
Street Address
103 WASCO STREET
CHILOQUIN, OR 97624
Billing Address
KLAMATH HEALTH PARTNERSHIP, INC.
2074 SOUTH 6TH STREET
KLAMATH FALLS, OR 97601
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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