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CHC26564-03 SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Subdivision Name
Four Rivers Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018610
340B ID
CHC26564-03
Grant Number
H80CS26564
Additional Details
Current Program Status
Active
Registration Date
10/10/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/14/2016
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
South Central Missouri Community Health Center
Stuart Hunter Gipson, CEO
(417) 576-7273
Primary Contact
Four Rivers Community Health Center
Angela M Brooks, Director of Pharmacy Services
(573) 545-5934
Addresses
Street Address
1081 E 18th St
Rolla, MO 65401
Billing Address
Four Rivers Community Health Center
1081 East 18th Street
Rolla, MO 65401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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