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CHC24176-00 OLATHE COMMUNITY CLINIC, INC. (Active)
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Main Details
Name
OLATHE COMMUNITY CLINIC, INC.
Subdivision Name
Olathe Community Clinic, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013942
340B ID
CHC24176-00
Grant Number
H80CS24176
Additional Details
Current Program Status
Active
Registration Date
1/11/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/25/2014
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Olathe Community Clinic, Inc.
Kaye Hotsenpiller, CEO
(970) 250-5775
Primary Contact
Olathe Community Clinic, Inc
Casey Payne, CFO
(270) 245-7239
Addresses
Street Address
308 Main Street
Olathe, CO 81425
Billing Address
Olathe Community Clinic, Inc.
PO BOX 529
OLATHE, CO 81425
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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