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CH10310G UMPQUA COMMUNITY HEALTH CENTER, INC (Terminated)
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Main Details
Name
UMPQUA COMMUNITY HEALTH CENTER, INC
Subdivision Name
Douglas High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008205
340B ID
CH10310G
Grant Number
H80CS00567
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/9/2013
Last Recertification Date
1/25/2017
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Umpqua Community Health Center
KC Bolton, CEO
(541) 672-9596 Ext: 103
Primary Contact
Umpqua Community Health Center
Melanie McKee, Operating Revenue Manager
(541) 672-9596 Ext: 365
Addresses
Street Address
1381 NW Douglas Avenue
Winston, OR 97496-8556
Billing Address
Umpqua Community Health Center
150 NE Kenneth Ford Drive
Roseburg, OR 97470
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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