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| Contacts | Signed By | Insert | New Registration | | McBride, Don
CEO
ACCESS Family Care
4174519450-212 | 5/7/2025 6:09 AM |
| Details | 340B ID | Update | New Registration | | CH07449P | 5/7/2025 6:09 AM |
| Dates | Participating Approval Date | Update | New Registration | | 5/7/2025 6:09:17 AM | 5/7/2025 6:09 AM |
| Details | State | Update | New Registration | Pending | Approved | 5/7/2025 6:09 AM |
| Dates | Signed By Date | Update | New Registration | | 4/10/2025 3:35:57 PM | 5/7/2025 6:09 AM |
| Dates | Start Date | Update | New Registration | | 7/1/2025 12:00:00 AM | 5/7/2025 6:09 AM |
| Addresses | Main Address | Insert | New Registration | |
805 Broadway St
Lamar, MO 64759-1224 | 4/10/2025 2:14 PM |
| Addresses | Billing Address | Insert | New Registration | | Ozark Tri-County Health Care Consortium DBA Access Family Care
PO Box 758
Neosho, MO 64850 | 4/10/2025 2:14 PM |
| Contacts | Authorizing Official | Insert | New Registration | | McBride, Don
CEO
ACCESS Family Care
4174519450-212 | 4/10/2025 2:14 PM |
| Contacts | Primary Contact | Insert | New Registration | | Foote, Carrie Elisabeth
Director of Compliance, Quality, and Risk Management
ACCESS Family Care
4174519450-4174519450 | 4/10/2025 2:14 PM |
| Details | Assistance Received From Date | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Details | Assistance Received To Date | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Details | Grant Number | Insert | New Registration | | H80CS00673 | 4/10/2025 2:14 PM |
| Details | 340B ID | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Details | Entity Name | Insert | New Registration | | OZARK TRI-COUNTY HEALTH CARE CONSORTIUM | 4/10/2025 2:14 PM |
| Details | NOFO Number | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Details | Program Code | Insert | New Registration | | CH | 4/10/2025 2:14 PM |
| Details | Entity Subname | Insert | New Registration | | ACCESS Family Care Lamar Dental | 4/10/2025 2:14 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Details | State | Insert | New Registration | | Pending | 4/10/2025 2:14 PM |
| Dates | Registration Date | Insert | New Registration | | 4/10/2025 2:14:24 PM | 4/10/2025 2:14 PM |
| Dates | Signed By Date | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Dates | Start Date | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Terminations | Termination Date | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 4/10/2025 2:14 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 4/10/2025 2:14 PM |