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CH09035D WEST COUNTY HEALTH CENTERS, INC. (Active)
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Main Details
Name
WEST COUNTY HEALTH CENTERS, INC.
Subdivision Name
RUSSIAN RIVER HLTH CENTER #2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003616
340B ID
CH09035D
Grant Number
H80CS00242
Additional Details
Current Program Status
Active
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/29/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
West County Health Centers
Jason Lee Cunningham, CEO
(707) 869-5977
Primary Contact
West County Health Centers
Ellen Bauer, Chief Administrative Officer
(707) 869-5977 Ext: 1014
Addresses
Street Address
16312 THIRD STREET
GUERNEVILLE, CA 95446
Billing Address
West County Health Centers, Inc.
Russian River Health Center #2
PO Box 1449
Guerneville, CA 95446-1449
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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