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FQHCLA423M Bowen Health, INC. (Active)
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Main Details
Name
Bowen Health, INC.
Subdivision Name
Bowen Health- Kokomo
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-039229
340B ID
FQHCLA423M
Grant Number
LALCS40296
Additional Details
Current Program Status
Active
Registration Date
1/14/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/12/2025
Last Recertification Date
Contacts
Authorizing Official
Otis R. Bowen Center for Human Services, Inc.
Melissa Knecht, Vice President of Finance
(574) 269-0532
Primary Contact
Otis R. Bowen Center for Human Services, Inc
Alisha Jackson, Director of Healthcare Quality
(765) 624-6789
Addresses
Street Address
2312 S Dixon Rd, Ste 250
Kokomo, IN 46902-6426
Billing Address
Bowen Health, Inc.
2621 E. Jefferson Street
Warsaw, IN 46580
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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