FQHC — tribal (638) · CA

Mathiesen Memorial Health Clinic

Name: 340B covered-entity record — Mathiesen Memorial Health Clinic (FQHC638549A)
Creator: Velarion Records
License: https://www.hrsa.gov/about/website-policies

0Registered locations
1Associated locations
0Contract pharmacies
0With no end date
1 January 2024In 340B since

Finances, as filed

This entity type does not file a Medicare cost report; no finances are recorded.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)

Cite this page

Velarion Records, “Mathiesen Memorial Health Clinic” (340B ID FQHC638549A), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638549A

Participation, as filed

Participating: TRUE
Participation start date: 1 January 2024
Certification date: 3 February 2026
Record last edited: 3 February 2026

Identifiers

340B ID: FQHC638549A
Entity type as filed: FQHC638

18232 Smoke Street, Jamestown CA 95327

Associated locations

Organization	Address	Where
Mathiesen Memorial Health Clinic	18232 Smoke Street	Jamestown CA 95327

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.