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CH10257K COMMUNITY HEALTH ASSOCIATION OF SPOKANE (Terminated)
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Main Details
Name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Subdivision Name
Sunset Elementary Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011475
340B ID
CH10257K
Grant Number
H80CS00319
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/23/2013
Last Recertification Date
2/23/2016
Termination Date
Termination Reason
1/1/2017
Site closure
Contacts
Authorizing Official
Community Health Association of Spokane
Aaron Wilson, CEO
(509) 444-8888
Primary Contact
Jason Doss, VP of Pharmacy Services
(509) 444-8888
Addresses
Street Address
12824 W 12th Ave
Airway Heights, WA 99001-9408
Billing Address
Community Health Association of Spokane
203 N Washington
Ste 300
Spokane, WA 99201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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