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CH0714960 REGIONAL HEALTH CARE CLINIC, INC. (Active)
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Main Details
Name
REGIONAL HEALTH CARE CLINIC, INC.
Subdivision Name
REGIONAL HEALTH CARE CLINIC, INC., dba Katy Trail Community Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001372
340B ID
CH0714960
Grant Number
H80CS06668
Additional Details
Current Program Status
Active
Registration Date
3/1/2006
Participating Start Date
11/7/2005
Participating Approval Date
3/1/2006
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Katy Trail Community Health
Michael Waller, CEO
(208) 800-8676
Primary Contact
Regional Care Clinic
ana dale, director of pharamcy
(660) 310-0809
Addresses
Street Address
821 Westwood Dr
Sedalia, MO 65301-2102
Billing Address
Katy Trail Community Health East
305 W. Main Street
Sedalia, MO 65301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/1/06 - REPLACES FQHCLA197; 6/26/06 - UPDATED ADDRESS (WAS 1700 E BROADWAY, SEDALIA MO 65301); 12/7/06 - CORRECTED ERROR IN ENT NAME (WAS REGIONAL HEALTH CARE CLINIC, INC. DBA KATY TRAIL COMMUNITY TRAIL)
12/07/2006
May 2025
May 2025
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