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CHC33661-04 GOOD SHEPHERD COMMUNITY CLINIC, INC. (Active)
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Main Details
Name
GOOD SHEPHERD COMMUNITY CLINIC, INC.
Subdivision Name
Good Shepherd Community Clinic, Inc-2401 N Commerce
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039637
340B ID
CHC33661-04
Grant Number
H80CS33661
Additional Details
Current Program Status
Active
Registration Date
3/4/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/6/2025
Last Recertification Date
Contacts
Authorizing Official
Good Shepherd Community Clinic, Inc.
Teresa Mae Myers, CEO
(580) 465-3545
Primary Contact
Good Shepherd Community Clinic, Inc.
Heidi Brooke Wright, Pharmacy Director
(580) 223-3411 Ext: 238
Addresses
Street Address
2401 N Commerce
Ardmore, OK 73401-1311
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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