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CH10070A WHITE BIRD CLINIC (Active)
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Main Details
Name
WHITE BIRD CLINIC
Subdivision Name
WHITE BIRD MEDICAL/DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003620
340B ID
CH10070A
Grant Number
H80CS00055
Additional Details
Current Program Status
Active
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/25/2014
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
White Bird Clinic
Jeremy Gates, Interim CEO
(541) 342-8255
Primary Contact
White Bird Clinic
Julie Cummings, Health Center Director
(541) 484-1400
Addresses
Street Address
1400 Mill St
Eugene, OR 97401-4259
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/25/14 Chuck Gerard is the Authorizing Official for the grant
07/25/2014
June 2025
June 2025
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