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CH06393S 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 - Ada Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037737
340B ID
CH06393S
Grant Number
H80CS00757
Additional Details
Current Program Status
Active
Registration Date
10/1/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/2/2024
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
304 N Monte Vista St
Ada, OK 74820
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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