340B Drug Pricing Program Database
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CAH371337-00 EASTERN OKLAHOMA MEDICAL CENTER (Active)
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Main Details
Name
EASTERN OKLAHOMA MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371337-00
Medicare Provider Number
371337
Additional Details
Current Program Status
Active
Registration Date
1/17/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
EOMC
Tiffany Griffis, 340 B Coordinator
(918) 635-3192
Primary Contact
Eastern Oklahoma Medical Center
Hollie Roberts, Director of Pharmacy
(918) 635-3160
Addresses
Street Address
105 WALL STREET
POTEAU, OK 74953
Billing Address
LeFlore County Hospital Authority
PO Box 1148
Poteau, OK 74953-1148
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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