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CH081151C SPECTRA HEALTH (Active)
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Main Details
Name
SPECTRA HEALTH
Subdivision Name
Spectra Health Grand Forks Medical
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013645
340B ID
CH081151C
Grant Number
H80CS01808
Additional Details
Current Program Status
Active
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/22/2014
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Spectra Health
Tiffany Schmidt, CFO
(701) 757-2100 Ext: 2002
Primary Contact
Spectra Health
Kelsey Gunderson, Accounting & Payroll Specialist
(701) 757-2100 Ext: 2026
Addresses
Street Address
212 S 4th St
STE 301
Grand Forks, ND 58201-4777
Billing Address
Spectra Health
212 South 4th Street, Suite 200
GRAND FORKS, ND 58201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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