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FQHC638347 SWINOMISH INDIAN TRIBAL COMM (Active)
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Main Details
Name
SWINOMISH INDIAN TRIBAL COMM
Subdivision Name
Swinomish Health Clinics
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638347
Additional Details
Current Program Status
Active
Registration Date
4/1/2021
Participating Start Date
4/7/2021
Participating Approval Date
4/7/2021
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Swinomish Medical Clinic
Jennifer LaPointe, General Manager
(360) 466-3167
Primary Contact
Swinomish Health Clinic
Michelle Perry, Office Manager
(360) 466-3167
Addresses
Street Address
17400 RESERVATION ROAD
LA CONNER, WA 98257
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (4/1/2001), until terminated effective date: (04/01/2021) reinstatement effective date: (04/07/2021).
04/07/2021
April 2025
April 2025
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