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CHC08748-04 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Subdivision Name
CHCCMO Magical Smiles Dix Road
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018279
340B ID
CHC08748-04
Grant Number
H80CS08748
Additional Details
Current Program Status
Terminated
Registration Date
10/16/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/17/2017
Last Recertification Date
2/7/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Toby Barnett, CFO
(573) 632-0243
Primary Contact
Community Health Center of Central Missouri
James Anderson, Chief Operating Officer
(816) 752-0737
Addresses
Street Address
408 Dix Road
Jefferson City, MO 65109-6510
Billing Address
CHCCMO- Magical Smiles
PO Box 104780
Jefferson City, MO 65110
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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