340B Drug Pricing Program Database
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CHC28357-02 North Olympic Healthcare Network PC (Active)
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Main Details
Name
North Olympic Healthcare Network PC
Subdivision Name
North Olympic Healthcare Network Mobile Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032595
340B ID
CHC28357-02
Grant Number
H80CS28357
Additional Details
Current Program Status
Active
Registration Date
1/4/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/5/2022
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
North Olympic Healthcare Network
Beau Jacob Brown, Chief Financial Officer
(360) 452-7891 Ext: 2828
Primary Contact
North Olympic Healthcare Network
Chelsie Botero, Compliance Analyst
(360) 452-7891 Ext: 2910
Addresses
Street Address
933 E 1st St
Port Angeles, WA 98362-4012
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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