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CHC24160-05 Neighborhood Health Center (Terminated)
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Main Details
Name
Neighborhood Health Center
Subdivision Name
Neighborhood Health Center Beaverton Suite A
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013669
340B ID
CHC24160-05
Grant Number
H80CS24160
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/9/2014
Last Recertification Date
2/7/2017
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Neighborhood Health Center
Blain A. West, CFO / COO
(503) 941-3028
Primary Contact
Neighborhood Health Center
Erin Hunkins, Director of HIT
(503) 941-3077
Addresses
Street Address
17175 SW TV HWY Suite A
Beaverton, OR 97006
Billing Address
Neighborhood Health Center
6420 SW Macadam Ave
300
Portland, OR 97239
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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