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CH10064BS Neighborcare Health (Terminated)
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Main Details
Name
Neighborcare Health
Subdivision Name
Neighborcare Health Dental at Providence St. Peter Hospital
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029705
340B ID
CH10064BS
Grant Number
H80CS00829
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/14/2021
Last Recertification Date
2/21/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
Neighborcare Health
Rashad A. Collins, CEO
(206) 548-3052
Primary Contact
Neighborcare Health
Janine Childs, CFO
(206) 548-3034
Addresses
Street Address
525 Lilly Rd NE Ste 110
Olympia, WA 98506-5101
Billing Address
Neighborcare Health
1200 12th Avenue S., Suite 901
Seattle, WA 98144
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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