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CH071496B REGIONAL HEALTH CARE CLINIC, INC. (Active)
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Main Details
Name
REGIONAL HEALTH CARE CLINIC, INC.
Subdivision Name
Regional Healthcare Clinic, Inc. dba Katy Trail Community Health Prairie Hills
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017701
340B ID
CH071496B
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
3/4/2025
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
1109 W Clay Rd
Versailles, MO 65084-1509
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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3/5/12 IMMEDIATE START DATE DUE TO PUBLIC HEALTH EMERGENCY IN MO
03/05/2012
April 2025
April 2025
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