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CH10252F Seattle Roots Community Health (Active)
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Main Details
Name
Seattle Roots Community Health
Subdivision Name
Seattle Roots at Nova
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030875
340B ID
CH10252F
Grant Number
H80CS00647
Additional Details
Current Program Status
Active
Registration Date
7/2/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/6/2021
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
2410 E Cherry St
Seattle, WA 98122-4832
Billing Address
Seattle Roots Community Health
2101 E Yesler Way
Seattle, WA 98122
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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