340B Drug Pricing Program Database
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CH10310N Umpqua Community Health Center, Inc. (Active)
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Main Details
Name
Umpqua Community Health Center, Inc.
Subdivision Name
Mobile Unit 24
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032347
340B ID
CH10310N
Grant Number
H80CS00567
Additional Details
Current Program Status
Active
Registration Date
6/16/2021
Participating Start Date
6/17/2021
Participating Approval Date
6/17/2021
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Umpqua Community Health Center, Inc., dba Aviva Health
Leah Woods, Chief Financial Officer
(541) 672-9596 Ext: 120
Primary Contact
Umpqua Community Health Center
Shannon Davis, 340B Program Manager
(541) 672-9596 Ext: 403
Addresses
Street Address
150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Billing Address
Umpqua Community Health Center, Inc.
150 NE Kenneth Ford Dr
Roseburg, OR 97470
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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