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CHC12887-00 ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS INC (Active)
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Main Details
Name
ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS INC
Subdivision Name
Arkansas Verdgris Valley Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010620
340B ID
CHC12887-00
Grant Number
H80CS12887
Additional Details
Current Program Status
Active
Registration Date
2/14/2011
Participating Start Date
4/1/2011
Participating Approval Date
2/15/2011
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
AVVHC
Sonya Smith, Chief Executive Officer
(918) 483-0111
Primary Contact
AVV Health Centers, Inc.
Dedra Shipman, Administrative Director
(918) 912-1001
Addresses
Street Address
505 S Main
Porter, OK 74454-0334
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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