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CH10248E COWLITZ FAMILY HEALTH CENTER (Active)
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Main Details
Name
COWLITZ FAMILY HEALTH CENTER
Subdivision Name
Wahkiakum Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009178
340B ID
CH10248E
Grant Number
H80CS00542
Additional Details
Current Program Status
Active
Registration Date
12/7/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/21/2009
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Cowlitz Family Health Center
JIm Coffee, CEO
(360) 636-3892
Primary Contact
Cowlitz Family Health Center
Jim Merrill, CFO
(360) 636-3892
Addresses
Street Address
335 Una Avenue
Cathlamet, WA 98612-9583
Billing Address
Cowlitz Family Health Center
1057 12TH AVENUE
LONGVIEW, WA 98632
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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