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CHC24160-11 Neighborhood Health Center (Terminated)
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Main Details
Name
Neighborhood Health Center
Subdivision Name
NHC Beaverton Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030103
340B ID
CHC24160-11
Grant Number
H80CS24160
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2020
Participating Start Date
4/1/2020
Participating Approval Date
3/1/2020
Last Recertification Date
2/1/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Neighborhood Health Center
Blain A. West, CFO / COO
(503) 941-3028
Primary Contact
Neighborhood Health Center
Erin Hunkins, Director of HIT
(503) 941-3077
Addresses
Street Address
17200 NW Corridor Ct Ste 110
Beaverton, OR 97006-3295
Billing Address
Neighborhood Health Center
7320 SW Hunziker Rd STE 300
Portland, OR 97223
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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