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CHC29023-00 WINDING WATERS MEDICAL CLINIC (Active)
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Main Details
Name
WINDING WATERS MEDICAL CLINIC
Subdivision Name
Winding Waters Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015670
340B ID
CHC29023-00
Grant Number
H80CS29023
Additional Details
Current Program Status
Active
Registration Date
1/5/2016
Participating Start Date
4/1/2016
Participating Approval Date
1/8/2016
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Winding Waters Medical Clinic
Keli Dennis, Chief Operations Officer
(541) 426-4506
Primary Contact
Winding Waters Medical Clinic
Michael Farley, Clinical Pharmacist
(541) 426-4502
Addresses
Street Address
603 MEDICAL PKWY
ENTERPRISE, OR 97828-5124
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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