340B Drug Pricing Program Database
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CHC06453-01 Pushmataha Family Medical Center Inc. (Active)
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Main Details
Name
Pushmataha Family Medical Center Inc.
Subdivision Name
Pushmataha Family Medical Center of Boswell
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017057
340B ID
CHC06453-01
Grant Number
H80CS06453
Additional Details
Current Program Status
Active
Registration Date
11/2/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/2/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Pushmataha Family Medical Center
Angela Batton, CEO
(918) 569-4143
Primary Contact
Pushmataha Family Medical Center, Inc.
Alaina Dale Bray, CFO
(918) 569-4143 Ext: 40
Addresses
Street Address
415 6th Street
Boswell, OK 74727
Billing Address
Pushmataha Family Medical Center
PO Box 219
Clayton, OK 74536
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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