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CH10100C Moses Lake Community Health Center (Active)
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Main Details
Name
Moses Lake Community Health Center
Subdivision Name
Quincy Student Health & Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032926
340B ID
CH10100C
Grant Number
H80CS00702
Additional Details
Current Program Status
Active
Registration Date
10/6/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/6/2021
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Moses Lake Community Health Center
Sheila Berschauer, CEO
(509) 765-0674 Ext: 2411
Primary Contact
Moses Lake Community Health Center
Bothaina Mousa, Director of Pharmacy
(509) 765-0675 Ext: 3232
Addresses
Street Address
403 Jackrabbit St NE
Quincy, WA 98848
Billing Address
Moses Lake Community Health Center
605 Coolidge Street
Moses Lake, WA 98837
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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