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FP678557 STANTON COUNTY HEALTH DEPARTMENT (Active)
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Main Details
Name
STANTON COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP678557
Grant Number
FPHPA006552
Additional Details
Current Program Status
Active
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/13/2010
Last Recertification Date
5/5/2025
Contacts
Authorizing Official
Stanton County Health Department
Larissa Polzin, Public Health Nurse Administrator
(620) 492-6443
Primary Contact
Stanton County Health Dept.
Carina Jacob, Assistant Office Manager
(620) 492-6443
Addresses
Street Address
114 N Main Street
JOHNSON, KS 67855-0548
Billing Address
Stanton County Health Department
P.O. Box 548
Johnson, KS 67855-0548
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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10/8/05 ADDED MEDICAID #
02/23/2010
May 2025
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