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CH10252D Seattle Roots Community Health (Active)
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Main Details
Name
Seattle Roots Community Health
Subdivision Name
Seattle Roots at Meany School Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028334
340B ID
CH10252D
Grant Number
H80CS00647
Additional Details
Current Program Status
Active
Registration Date
11/12/2019
Participating Start Date
1/1/2020
Participating Approval Date
12/2/2019
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
301 21st Ave E
Seattle, WA 98112-5318
Billing Address
seattle roots community health
2101 E Yesler Way
Suite 210
Seattle, WA 98122
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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