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CH10130G HEALTHPOINT (Terminated)
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Main Details
Name
HEALTHPOINT
Subdivision Name
AUBURN COMMUNITY DENTAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004908
340B ID
CH10130G
Grant Number
H80CS00360
Additional Details
Current Program Status
Terminated
Registration Date
7/1/1999
Participating Start Date
7/1/1999
Participating Approval Date
7/7/2004
Last Recertification Date
2/16/2022
Termination Date
Termination Reason
4/1/2023
Other
Contacts
Authorizing Official
HealthPoint
Vicki Hammond, CFO
(425) 277-1311
Primary Contact
Healthpoint
Keith Sinay, Vice President Pharmacy Services
(425) 277-1311
Addresses
Street Address
126 AUBURN AVE
SUITE 100
AUBURN, WA 98002
Billing Address
HEALTHPOINT
955 Powell Ave SW
Renton, WA 98057
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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08/27/2012 added in-house pharmacy shipping address 1 and 2; 5/4/06 - ADDR CHANGE (WAS ONE A STREET NW)
08/27/2012
08/27/2012 added in-house pharmacy shipping address 1; 5/4/06 - ADDR CHANGE (WAS ONE A STREET NW)
08/27/2012
5/4/06 - ADDR CHANGE (WAS ONE A STREET NW)
05/04/2006
May 2025
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