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CH01085G COOS COUNTY FAMILY HEALTH SERVICES (Active)
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Main Details
Name
COOS COUNTY FAMILY HEALTH SERVICES
Subdivision Name
Coos County Family Health - Express Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037610
340B ID
CH01085G
Grant Number
H80CS00508
Additional Details
Current Program Status
Active
Registration Date
1/4/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/9/2024
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Coos County Family Health Services
KEN GORDON, CEO
(603) 752-2040 Ext: 4018
Primary Contact
Coos County Family Health Services
Brandon Gilbert, Corporate Compliance Officer
(603) 752-3669 Ext: 4037
Addresses
Street Address
167 Main Street STE 2
Gorham, NH 03581-1637
Billing Address
Coos County Family Health Services
133 Pleasant Street
Berlin, NH 03570-2006
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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