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CH10310H UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health (Active)
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Main Details
Name
UMPQUA COMMUNITY HEALTH CENTER, INC., dba Aviva Health
Subdivision Name
Sutherlin Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038341
340B ID
CH10310H
Grant Number
H80CS00567
Additional Details
Current Program Status
Active
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/18/2014
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Umpqua Community Health Center, Inc., dba Aviva Health
Leah Woods, Chief Financial Officer
(541) 672-9596 Ext: 120
Primary Contact
Umpqua Community Health Center
Shannon Davis, 340B Program Manager
(541) 672-9596 Ext: 403
Addresses
Street Address
775 Taylor Street
Sutherlin, OR 97479-9812
Billing Address
Umpqua Community Health Center, Inc., dba Aviva Health
150 NE Kenneth Ford Drive
Roseburg, OR 97470-1042
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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