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CH07440H DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. (Active)
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Main Details
Name
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Subdivision Name
Missouri Ozarks Community Health-Houston
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018980
340B ID
CH07440H
Grant Number
H80CS00457
Additional Details
Current Program Status
Active
Registration Date
4/24/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/25/2017
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
Missouri Ozarks Community Health
Randall L Gann, CEO
(417) 683-5739
Primary Contact
Douglas County Public Health Services Group, INc.
Jennifer Heinlein, COO
(417) 683-5739 Ext: 1111
Addresses
Street Address
1340 South Sam Houston Blvd.
Houston, MO 65483-2045
Billing Address
Missouri Ozarks Community Health
PO Box 1359
Ava, MO 65608
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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