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CH061436A FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA (Active)
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Main Details
Name
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA
Subdivision Name
FHCSO-Atoka
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014007
340B ID
CH061436A
Grant Number
H80CS02454
Additional Details
Current Program Status
Active
Registration Date
1/14/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/10/2016
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Family Health Center of Southern Oklahoma
TINA JAREE DAVIS, CEO
(580) 371-2343 Ext: 322
Primary Contact
Family Health Center of Southern Oklahoma, Inc.
Joe Burns, Pharmacy Director
(580) 371-2343 Ext: 3345
Addresses
Street Address
457 S. Mississippi Ave.
Atoka, OK 74525-3246
Billing Address
FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA
610 E 24th Street
Tishomingo, OK 73460
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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