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CH062780C GREAT SALT PLAINS HEALTH CENTER, INC. (Active)
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Main Details
Name
GREAT SALT PLAINS HEALTH CENTER, INC.
Subdivision Name
GSP Health Canton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019218
340B ID
CH062780C
Grant Number
H80CS08744
Additional Details
Current Program Status
Active
Registration Date
5/1/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/3/2017
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Great Salt Plains Health Center
TIM STARKEY, CEO/EXECUTIVE DIRECTOR
(580) 596-2800
Primary Contact
Great Salt Plains Health Center Inc.
Oliver Gary Lackey, Director of Pharmacy
(405) 876-8069
Addresses
Street Address
310 E. Walnut St.
Canton, OK 73724
Billing Address
Great Salt Plains Health Center, Inc.
205 W. Maple
Suite 1000
Enid, OK 73701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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