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CH061950AG St. Francis House NWA, Inc. (Active)
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Main Details
Name
St. Francis House NWA, Inc.
Subdivision Name
Family Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038144
340B ID
CH061950AG
Grant Number
H80CS04290
Additional Details
Current Program Status
Active
Registration Date
4/5/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/9/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
St. Francis House NWA inc dba Community Clinic
James Semingson II, Chief Executive Officer
(479) 751-7417 Ext: 6070
Primary Contact
St. Francis House NWA inc dba Community Clinic
John L Smith, Compliance Director
(479) 751-7417 Ext: 6157
Addresses
Street Address
1121 Neo Loop
Grove, OK 74344
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
April 2025
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