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CH071496A REGIONAL HEALTH CARE CLINIC, INC. (Active)
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Main Details
Name
REGIONAL HEALTH CARE CLINIC, INC.
Subdivision Name
Katy Trail Community Health, Harbor Village
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012843
340B ID
CH071496A
Grant Number
H80CS06668
Additional Details
Current Program Status
Active
Registration Date
2/8/2012
Participating Start Date
3/5/2012
Participating Approval Date
3/5/2012
Last Recertification Date
2/20/2025
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
17571 N Dam Access Road
Warsaw, MO 65355
Billing Address
Regional Health Care Clinic dba Katy Trail Community Health
821 Westwood
Sedalia, MO 65301-2102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/5/12 IMMMEDIATE START DATE DUE TO PUBLIC HEALTH EMERGENCY
03/05/2012
April 2025
April 2025
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