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CH05270B Sawtooth Mountain Clinic Inc (Active)
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Main Details
Name
Sawtooth Mountain Clinic Inc
Subdivision Name
GRAND PORTAGE HEALTH SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003078
340B ID
CH05270B
Grant Number
H80CS00496
Additional Details
Current Program Status
Active
Registration Date
7/11/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/12/2019
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Sawtooth Mountain Clinic
Kate Surbaugh, CEO
(218) 387-2330 Ext: 159
Primary Contact
Sawtooth Mountain Clinic, Inc
Jeff Stoddard, CFO
(218) 387-2330
Addresses
Street Address
62 Upper Rd
Grand Portage, MN 55605-3010
Billing Address
Sawtooth Mountain Clinic, Inc.
513 5th Ave. W.
Grand Marais, MN 55604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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