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CH10257Y COMMUNITY HEALTH ASSOCIATION OF SPOKANE (Active)
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Main Details
Name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Subdivision Name
CHAS North Idaho Mobile Medical
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031587
340B ID
CH10257Y
Grant Number
H80CS00319
Additional Details
Current Program Status
Active
Registration Date
10/12/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/14/2021
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
CHAS Health
John Michael Browne, CFO
(509) 444-8888
Primary Contact
CHAS
Blair Rossow, VP of Pharmacy Operations
(509) 444-8888 Ext: 40436
Addresses
Street Address
2337 3rd Ave N
Lewiston, ID 83501
Billing Address
Community Health Association of Spokane
611 N Iron Bridge Way
Spokane, WA 99202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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