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CH081151B SPECTRA HEALTH (Active)
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Main Details
Name
SPECTRA HEALTH
Subdivision Name
Spectra Health Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003172
340B ID
CH081151B
Grant Number
H80CS01808
Additional Details
Current Program Status
Active
Registration Date
12/9/2011
Participating Start Date
4/1/2012
Participating Approval Date
1/23/2012
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Spectra Health
Tiffany Schmidt, CFO
(701) 757-2100 Ext: 2002
Primary Contact
Spectra Health
Kelsey Gunderson, Accounting & Payroll Specialist
(701) 757-2100 Ext: 2026
Addresses
Street Address
212 S 4th St
STE 101
Grand Forks, ND 58201-4777
Billing Address
Spectra Health
212 South 4th Street, Suite 200
GRAND FORKS, ND 58201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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