340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHC638492A Cow Creek Band of Umpqua Tribe Indians (Active)
Print
Main Details
Name
Cow Creek Band of Umpqua Tribe Indians
Subdivision Name
Cow Creek Health & Wellness Center
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638492A
Additional Details
Current Program Status
Active
Registration Date
4/11/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/1/2019
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Cow Creek Band of Umpqua Tribe of Indians
Allyson Kristine Nicolas, Health Operations Officer
(541) 900-9215
Primary Contact
Cow Creek Health & Wellness Center
Tamara Ann Robinson, Clinic Operations Coordinator
(541) 691-2433
Addresses
Street Address
2589 NW Edenbower Blvd
Roseburg, OR 97471
Billing Address
Cow Creek Band of Umpqua Tribe of Indians
2371 NE Stephens
Roseburg, OR 97470
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating from effective date (4/1/2013) until terminated effective date (4/1/2019), reinstatement date effective (07/01/2019)
05/01/2019
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session