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FP678601 KEARNY COUNTY HEALTH DEPARTMENT (Active)
Main Details
Name
KEARNY COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP678601
Grant Number
FPHPA006552
Contacts
Authorizing Official
KEARNY COUNTY HEALTH DEPARMENT
Amanda Peterson, RN/ADM
(620) 355-6342
Primary Contact
Kearny County Health Department
Lilia Rainey, RN
(620) 355-6342
Additional Details
Current Program Status
Active
Registration Date
10/4/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/16/2022
Last Recertification Date
5/10/2024
Addresses
Street Address
402 N Main
LAKIN, KS 67860-0275
Billing Address
Kearny County Health Department
PO Box 275
Lakin, KS 67860
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (1/1/1998) until terminated effective date: ( 7/1/2021), reinstatement effective date: (01/01/2023)
11/16/2022
Participating from effective date: (1/1/1998) until terminated effective date: ( 7/1/2021), reinstatement effective date: (01/1/2023)
11/02/2022
2/26/06 ADDED MEDICAID #; 9/21/05 UPDATED ADDR (WAS 310 N KANSAS);
02/23/2010
May 2024
May 2024
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