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CH10560F Mosaic Community Health (Active)
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Main Details
Name
Mosaic Community Health
Subdivision Name
Harriman Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010992
340B ID
CH10560F
Grant Number
H80CS00270
Additional Details
Current Program Status
Active
Registration Date
4/9/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/22/2013
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
Mosaic Community Health
Steve Strang, CFO
(541) 788-6470
Primary Contact
Mosaic Medical
Robin Vallie, Pharmacy Operations Manager
(541) 383-3005
Addresses
Street Address
1128 NW Harriman St
BEND, OR 97703
Billing Address
Mosaic Medical
600 SW Columbia Street
Suite 6150
Bend, OR 97702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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