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CH081150H COAL COUNTRY COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
COAL COUNTRY COMMUNITY HEALTH CENTER
Subdivision Name
Coal Country Community Health Centers - Killdeer Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019615
340B ID
CH081150H
Grant Number
H80CS09469
Additional Details
Current Program Status
Active
Registration Date
10/12/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Coal Country Community Health Center
Kurt V Waldbillig, CEO
(701) 873-6008
Primary Contact
Coal Country Community Health Center
Brooke G Borlaug, Clinic Director
(701) 873-7411
Addresses
Street Address
220 4th Ave SW
Killdeer, ND 58640
Billing Address
Coal Country Community Health Center
1312 Highway 49 N
Beulah, ND 58523
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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