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CH10291D KLAMATH HEALTH PARTNERSHIP, INC (Active)
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Main Details
Name
KLAMATH HEALTH PARTNERSHIP, INC
Subdivision Name
SBHC-Mazama High
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024900
340B ID
CH10291D
Grant Number
H80CS00233
Additional Details
Current Program Status
Active
Registration Date
4/7/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/9/2019
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Klamath Health Partnership
Erich Koch, CEO
(541) 810-2040
Primary Contact
Klamath Health Partnership, Inc
Marcus Cox, Chief Pharmacy Officer
(541) 887-8188
Addresses
Street Address
3009 Summers Ln
Klamath Falls, OR 97603-6705
Billing Address
Klamath Health Partnership Inc
2074 S 6th Street
Klamath Falls, OR 97601
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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