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CH10560X Mosaic Community Health (Active)
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Main Details
Name
Mosaic Community Health
Subdivision Name
Courtney Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021818
340B ID
CH10560X
Grant Number
H80CS00270
Additional Details
Current Program Status
Active
Registration Date
5/22/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/25/2018
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
Mosaic Community Health
Steve Strang, CFO
(541) 788-6470
Primary Contact
Mosaic Medical
Robin Vallie, Pharmacy Operations Manager
(541) 383-3005
Addresses
Street Address
2577 NE Courtney Dr Ste 100
Bend, OR 97701
Billing Address
Mosaic Medical
600 SW Columbia St.
6150
Bend, OR 97702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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