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CHC28357-00 NORTH OLYMPIC HEALTHCARE NETWORK PC (Active)
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Main Details
Name
NORTH OLYMPIC HEALTHCARE NETWORK PC
Subdivision Name
North Olympic Healthcare Network PC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014980
340B ID
CHC28357-00
Grant Number
H80CS28357
Additional Details
Current Program Status
Active
Registration Date
10/1/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/28/2015
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
North Olympic Healthcare Network
Beau Jacob Brown, Chief Financial Officer
(360) 452-7891 Ext: 2828
Primary Contact
North Olympic Healthcare Network
Chelsie Botero, Compliance Analyst
(360) 452-7891 Ext: 2910
Addresses
Street Address
240 W FRONT ST
PORT ANGELES, WA 98362-2609
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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