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CH081071D NORTHLAND HEALTH PARTNERS COMMUNITY (Terminated)
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Main Details
Name
NORTHLAND HEALTH PARTNERS COMMUNITY
Subdivision Name
Northland Community Health Center - Rolla
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009287
340B ID
CH081071D
Grant Number
H80CS00847
Additional Details
Current Program Status
Terminated
Registration Date
3/9/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/10/2010
Last Recertification Date
2/3/2021
Termination Date
Termination Reason
4/1/2022
Site closure
Contacts
Authorizing Official
Northland Community Health Center
Nadine Boe, CEO
(701) 448-2054 Ext: 7017204347
Primary Contact
NHC
Rachel Hanson, CFO
(701) 448-2054 Ext: 7014482054
Addresses
Street Address
114 3rd St NE
Rolla, ND 58367-7137
Billing Address
NORTHLAND COMMUNITY HEALTH CENTER
PO BOX 535
TURTLE LAKE, ND 58575-0535
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/29/12 - Changed AO info from Faye Hagen and Contact info from Nikki Medalen.
03/29/2012
May 2025
May 2025
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