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CH081151A SPECTRA HEALTH (Active)
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Main Details
Name
SPECTRA HEALTH
Subdivision Name
Spectra Health Larimore
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008186
340B ID
CH081151A
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
607 Towner Ave
Larimore, ND 58251
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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April 2025
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