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CH061274A NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC. (Active)
Main Details
Name
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Tahlequah Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010236
340B ID
CH061274A
Grant Number
H80CS00848
Contacts
Authorizing Official
NeoHealth
Crystal Steed, Chief Operations Officer
(918) 772-3390
Primary Contact
Neohealth
Scott Rosenthal, CEO
(918) 772-3102
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
7/27/2004
Last Recertification Date
1/29/2024
Addresses
Street Address
1500 E Downing St STE 214
Tahlequah, OK 74464-3379
Billing Address
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC.
P.O. Box 751
HULBERT, OK 74441
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/15/12 - Changed main address from 407 Daisy Drive, ste. a and billing address from 124 East main, AO from Lori Timmons and contact from Michael Mcgill. 4/25/2008-UPDATED ADDRESS (WAS1500 E. DOWNING, SUITE 201);4/14/2008-UPDATED BILLING ADDRESS (WAS PO BOX 751) UPDATED EMAIL ADDRESS
02/15/2012
4/25/2008-UPDATED ADDRESS (WAS1500 E. DOWNING, SUITE 201);4/14/2008-UPDATED BILLING ADDRESS (WAS PO BOX 751) UPDATED EMAIL ADDRESS
04/25/2008
May 2024
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