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CH063930 CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Subdivision Name
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000273
340B ID
CH063930
Grant Number
H80CS00757
Additional Details
Current Program Status
Active
Registration Date
4/1/2003
Participating Start Date
4/1/2003
Participating Approval Date
4/1/2003
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Central Oklahoma Family Medical Center, Inc.
Brenda Ware, CEO
(580) 925-3286 Ext: 227
Primary Contact
Central Oklahoma Family Medical Center
Randy Grimes, Director of Pharmacies
(580) 925-3286
Addresses
Street Address
527 West 3rd St
Konawa, OK 74849-1415
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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