Skip Navigation
U.S. Department of Health and Human Services
HRSA
OPA
Toggle navigation
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports/Files
Login
Help
FQHC638337A TULALIP TRIBES (Active)
Main Details
Name
TULALIP TRIBES
Subdivision Name
TULALIP HEALTH CLINIC
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638337A
Contacts
Authorizing Official
TULALIP HEALTH SYSTEM
Jeremy Howell, Health System Administrator
(360) 716-5688
Primary Contact
Tulalip Clinical Pharmacy
Kelvin Lee, Manager
(360) 716-2660
Additional Details
Current Program Status
Active
Registration Date
4/1/2020
Participating Start Date
4/2/2020
Participating Approval Date
4/2/2020
Last Recertification Date
1/29/2024
Addresses
Street Address
7520 Totem Beach Road
Tulalip, WA 98271
Billing Address
TULALIP CLINIC FINANCE
7520 TOTEM BEACH ROAD
TULALIP, WA 98271
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
Filter by Comment
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Participating from effective date: (7/1/1998), until terminated effective date: (4/1/2020), reinstatement effective date: (07/01/2020).
04/02/2020
4/10/09 UPDATED ENTITY NAME AND ADDED BILL TO ADDR; 5/1/07 - IN-HOUSE PHARMACY CLOSED, BEGAN CONTRACT PHARMACY ARRANGEMENT
04/10/2009
May 2024
May 2024
week
S
M
T
W
T
F
S
18
28
29
30
1
2
3
4
19
5
6
7
8
9
10
11
20
12
13
14
15
16
17
18
21
19
20
21
22
23
24
25
22
26
27
28
29
30
31
1
23
2
3
4
5
6
7
8
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will close in
60
seconds.
Click OK to continue your session.