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CH10257F COMMUNITY HEALTH ASSOCIATION OF SPOKANE (Active)
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Main Details
Name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Subdivision Name
Maple Street Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000673
340B ID
CH10257F
Grant Number
H80CS00319
Additional Details
Current Program Status
Active
Registration Date
10/1/2002
Participating Start Date
10/1/2002
Participating Approval Date
9/26/2003
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
3919 N Maple St
Spokane, WA 99205
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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4/7/2010- AMDP-NETWORK-CHAS PHARMACY NETWORK; 6/19/09 MEDI/NPI # ADDED CORRECTED ID
03/01/2013
4/7/2010- AMDP-NETWORK-CHAS PHARMACY NETWORK; 6/19/09 MEDI/NPI # ADDED CORRECTED ID
06/19/2009
4/7/2010- AMDP-NETWORK-CHAS PHARMACY NETWORK; 6/19/09 MEDI/NPI # ADDED CORRECTED ID
06/19/2009
April 2025
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