340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

FQHC638549 mathiesen memorial Health Clinic (Active)

Main Details
mathiesen memorial Health Clinic
Tribal Contract/Compact with IHS (P.L. 93-638)
FQHC638549


Additional Details
Active
1/9/2018
4/1/2018
1/25/2018
2/12/2024

Contacts

Mathiesen Memorial Health Clinic
John Richard Vass, CEO
(209) 984-4827 Ext: 2099844827

Mathiesen Memorial Health Clinc
Kristofer Moore, 340B Manager
(209) 984-4827 Ext: 2099844827

Addresses

18144 Seco Street
Jamestown, CA 95327

Same as Street Address


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