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FP652706 COLUMBIA/BOONE COUNTY HEALTH DEPARTMENT (Terminated)
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Main Details
Name
COLUMBIA/BOONE COUNTY HEALTH DEPARTMENT
Subdivision Name
RANDOLPH COUNTY HEALTH DEPT
Type
Family Planning (Title X only)
340B ID
FP652706
Grant Number
FPHPA006455
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/1/1998
Last Recertification Date
5/23/2022
Termination Date
Termination Reason
7/1/2023
Other
Contacts
Authorizing Official
Randolph County Health Department
Sharon A Whisenand, Administrator
(660) 263-6643 Ext: 218
Primary Contact
Randolph County Health Department
Pamela Rouse, Administrative Assistant
(660) 263-6643 Ext: 220
Addresses
Street Address
1319 E. HWY 24
Suite A
MOBERLY, MO 65270
Billing Address
Randolph County Health Dept.
1319 E. HWY 24
Suite A
Moberly, MO 65270
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/9/06 UPDATED ENTITY NAME; 3/9/06 UPDATED SUBDIV NAME;
02/17/2010
April 2025
April 2025
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