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CH10252C Seattle Roots Community Health (Active)
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Main Details
Name
Seattle Roots Community Health
Subdivision Name
Seattle Roots Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003555
340B ID
CH10252C
Grant Number
H80CS00647
Additional Details
Current Program Status
Active
Registration Date
1/28/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/30/2019
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
510 19th Ave E
Seattle, WA 98112-4007
Billing Address
Seattle Roots Community Health
2101 E Yesler Way
Seattle, WA 98122
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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