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GENOA HEALTHCARE LLC
CH091540 OPEN DOOR COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
OPEN DOOR COMMUNITY HEALTH CENTERS
Subdivision Name
Arcata Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH091540
Entity Address
1150 Foster Avenue
Arcata, CA 95521-6210
Grant Number
H80CS00225
Participating Start Date
7/1/1996
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
1545 HARBECK RD STE P1
GRANTS PASS, OR 97527
Pharmacy Comments
Contract Details
Approval Date
1/19/2022
Contract Begin Date
1/25/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Henry Demont, Chief Financial Officer
(707) 826-8633 Ext: 5106
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/19/2022
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