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HV98225 INTERFAITH COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
INTERFAITH COMMUNITY HEALTH CENTER
Subdivision Name
ADMIN and BEHAVIORAL HEALTH CLINIC
Type
Ryan White Part C
340B ID
HV98225
Grant Number
H76HA00776
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2002
Participating Start Date
10/1/2002
Participating Approval Date
12/22/2009
Last Recertification Date
2/29/2016
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
Unity Care Northwest
Desmond Skubi, Executive Director
(360) 788-2620
Primary Contact
Unity Care Northwest
Lisa Nelson, Pharmacy Manager
(360) 788-2682
Addresses
Street Address
1616 Cornwall Avenue
Suite 205
BELLINGHAM, WA 98225
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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12/22/09 UPDATED ENTITY NAME (WAS OPPORTUNITY COUNCIL INTERFAITH FAMILY HEALTH CENTER)
12/22/2009
June 2025
June 2025
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