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CH07720AE ADVOCATES FOR A HEALTHY COMMUNITY INC (Terminated)
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Main Details
Name
ADVOCATES FOR A HEALTHY COMMUNITY INC
Subdivision Name
JVCHC - Forsyth
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014411
340B ID
CH07720AE
Grant Number
H80CS00275
Additional Details
Current Program Status
Terminated
Registration Date
3/14/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/14/2017
Last Recertification Date
2/22/2021
Termination Date
Termination Reason
7/1/2021
Site closure
Contacts
Authorizing Official
Jordan Valley Community Health Center
Brooks K. Miller, CEO
(417) 851-1551
Primary Contact
Advocates for a Healthy Community, Inc.
Clifford James Conquest, Manager, 340B Program
(417) 851-1551
Addresses
Street Address
15479 US HIGHWAY 160
FORSYTH, MO 65653-8150
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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