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CHC24108-04 HEALTH PARTNERSHIP CLINIC, INC. (Terminated)
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Main Details
Name
HEALTH PARTNERSHIP CLINIC, INC.
Subdivision Name
Health Partnership Clinic, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017004
340B ID
CHC24108-04
Grant Number
H80CS24108
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
Amy Falk, CEO
(913) 648-2266
Primary Contact
Rod Smith, Pharmacy Director
(913) 276-7000
Addresses
Street Address
1418 South Main
Ottawa, KS 66067
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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