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CH10252A Seattle Roots Community Health (Active)
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Main Details
Name
Seattle Roots Community Health
Subdivision Name
Seattle Roots at Carolyn Downs
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002833
340B ID
CH10252A
Grant Number
H80CS00647
Additional Details
Current Program Status
Active
Registration Date
4/1/1998
Participating Start Date
4/1/1998
Participating Approval Date
4/7/2005
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Country Doctor Community Clinic
Bessie Chi, Director of Pharmacy
(206) 709-7116
Primary Contact
Country Doctor Community Clinic
Angie Treptow, Revenue and Reimbursement Manager
(206) 299-1937
Addresses
Street Address
2101 E. YESLER WAY
SEATTLE, WA 98122-5959
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/6/04 - ADMIN CORRECTION - COMBINES CH10063D AND CHT98112 RECORDS
04/07/2005
April 2025
April 2025
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