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CHC08748-00 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Subdivision Name
Jefferson City Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007912
340B ID
CHC08748-00
Grant Number
H80CS08748
Additional Details
Current Program Status
Terminated
Registration Date
12/14/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/14/2010
Last Recertification Date
2/9/2018
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Toby Barnett, CFO
(573) 632-0243
Primary Contact
COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Kyra Clevenger, Director of Compliance and Analytics
(573) 632-0243
Addresses
Street Address
3400 W Truman Blvd
Jefferson City, MO 65109-5712
Billing Address
COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
PO Box 104780
JEFFERSON CITY, MO 65110
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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