340B Drug Pricing Program Database
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CH10291F KLAMATH HEALTH PARTNERSHIP, INC (Active)
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Main Details
Name
KLAMATH HEALTH PARTNERSHIP, INC
Subdivision Name
Pine Street Open Door
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035264
340B ID
CH10291F
Grant Number
H80CS00233
Additional Details
Current Program Status
Active
Registration Date
10/7/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/11/2022
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Klamath Health Partnership
Erich Koch, CEO
(541) 810-2040
Primary Contact
Klamath Health Partnership, Inc
Marcus Cox, Chief Pharmacy Officer
(541) 887-8188
Addresses
Street Address
403 Pine St
Klamath Falls, OR 97601-6020
Billing Address
KLAMATH HEALTH PARTNERSHIP, INC
2074 S 6th Street
Klamath Falls, OR 97601
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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