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CH10253C INTERNATIONAL COMMUNITY HEALTH SERVICES (Active)
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Main Details
Name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Subdivision Name
ICHS Bellevue Medical and Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013852
340B ID
CH10253C
Grant Number
H80CS00437
Additional Details
Current Program Status
Active
Registration Date
7/8/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
ICHS
Kelli Nomura, CEO
(206) 788-3659
Primary Contact
ICHS
Ju Hui Lee, Pharmacy Director
(206) 788-3756
Addresses
Street Address
1050 140TH AVE NE
BELLEVUE, WA 98005-2972
Billing Address
INTERNATIONAL COMMUNITY HEALTH SERVICES
PO BOX 3007
Seattle, WA 98114-3007
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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