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FQHC638398 JAMESTOWN S'KLALLAM TRIBE (Active)
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Main Details
Name
JAMESTOWN S'KLALLAM TRIBE
Subdivision Name
Jamestown Family Health Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638398
Additional Details
Current Program Status
Active
Registration Date
1/1/2001
Participating Start Date
1/1/2001
Participating Approval Date
1/1/2001
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
Jamestown S'Klallam Tribe
Brent D. Simcosky, Director of Health Services
(360) 582-4870
Primary Contact
Jamestown S'Klallam Tribe
Colby Nicholson Wait, Pharmacy Program Manager
(360) 582-4835
Addresses
Street Address
808 N. 5th Avenue
SEQUIM, WA 98382
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
April 2025
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