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CH10291E KLAMATH HEALTH PARTNERSHIP, INC (Terminated)
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Main Details
Name
KLAMATH HEALTH PARTNERSHIP, INC
Subdivision Name
KOD @ KBBH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027269
340B ID
CH10291E
Grant Number
H80CS00233
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/16/2019
Last Recertification Date
2/11/2025
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
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
2210 N. Eldorado Ave. STE 1
Klamath Falls, OR 97601
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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May 2025
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