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FP67877 HASKELL COUNTY HEALTH DEPARTMENT (Active)
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Main Details
Name
HASKELL COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP67877
Grant Number
FPHPA006448
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
6/17/2005
Last Recertification Date
5/8/2024
Contacts
Authorizing Official
Satanta District Hospital
Tina Pendergraft, CEO
(620) 682-8415
Primary Contact
Haskell County Health Department
Martha Chacon, Receptionist
(620) 675-8191
Addresses
Street Address
301 S DERBY
SUBLETTE, KS 67877-0398
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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8/29/07 UPDATED ADDR (WAS 601 N INMAN)
02/23/2010
May 2025
May 2025
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