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CH061193B KIAMICHI FAMILY MEDICAL CENTER (Active)
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Main Details
Name
KIAMICHI FAMILY MEDICAL CENTER
Subdivision Name
Kiamichi Family Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018633
340B ID
CH061193B
Grant Number
H80CS00267
Additional Details
Current Program Status
Active
Registration Date
4/12/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/15/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Kiamichi Family Medical Center, Inc.
Amy Gilbreath, CEO
(580) 286-6688
Primary Contact
Kiamichi Family Medical Center, Inc
Scott Rickey, CFO
(580) 286-6688
Addresses
Street Address
3004 E. Jackson St.
Hugo, OK 74743
Billing Address
Kiamichi Family Medical Center
PO Box 180
Battiest, OK 74722
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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