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CH102530 INTERNATIONAL COMMUNITY HEALTH SERVICES (Active)
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Main Details
Name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Subdivision Name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004690
340B ID
CH102530
Grant Number
H80CS00437
Additional Details
Current Program Status
Active
Registration Date
4/1/1995
Participating Start Date
4/1/1995
Participating Approval Date
4/7/2005
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
ICHS
Jeffrey Gibbs, Chief Health Officer
(206) 788-3652
Primary Contact
ICHS
Ju Hui Lee, Pharmacy Director
(206) 788-3756
Addresses
Street Address
720 8TH AVENUE SOUTH
SEATTLE, WA 98104-3033
Billing Address
INTERNATIONAL COMMUNITY HEALTH SERVICES
PO BOX 3007
SEATTLE, WA 98114-3007
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/09/11 - Changed contact info from ALAN CHUN, MD. 4/7/05 -ADMIN CORRECTION REPLACES CH10063B; 1/23/07 - ADDED MEDICAID #
11/09/2011
4/7/05 - ADMIN CORRECTION REPLACES CH10063B; 1/23/07 - ADDED MEDICAID #
01/23/2007
May 2025
May 2025
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