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CHC26564-00 South Central Missouri Community Health Center (Terminated)
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Main Details
Name
South Central Missouri Community Health Center
Subdivision Name
South Central Missouri Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013787
340B ID
CHC26564-00
Grant Number
H80CS26564
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/14/2018
Termination Date
Termination Reason
7/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
South Central Missouri Community Health Center dba Your Community Health Center
Kelly Miller, Interim CEO/CFO
(573) 426-6714
Primary Contact
Your Community Health Center
Angela Brooks, RPH
(573) 242-6311
Addresses
Street Address
1050 W 10th Street,Suite 480
Rolla, MO 65401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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