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CHC30714-06 AUDUBON AREA COMMUNITY CARE CLINIC, INC (Active)
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Main Details
Name
AUDUBON AREA COMMUNITY CARE CLINIC, INC
Subdivision Name
Audubon Area Community Care Clinic - Owensboro Middle School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036495
340B ID
CHC30714-06
Grant Number
H80CS30714
Additional Details
Current Program Status
Active
Registration Date
10/14/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/15/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Audubon Area Community Care Clinic
Samantha Taylor-Kaai, Project Director
(270) 686-6040 Ext: 6044
Primary Contact
Audubon Area Community Care Clinic
Stephanie James, Assistant Clinic Program Director
(270) 686-6040 Ext: 6047
Addresses
Street Address
1300 Booth Ave
Owensboro, KY 42301-4540
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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