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CHC24176-02 Olathe Community Clinic, Inc. (Terminated)
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Main Details
Name
Olathe Community Clinic, Inc.
Subdivision Name
River Family Family Health Center of Delta
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021050
340B ID
CHC24176-02
Grant Number
H80CS24176
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
Last Recertification Date
1/31/2023
Termination Date
Termination Reason
10/1/2023
Other
Contacts
Authorizing Official
Olathe Community Clinic, Inc.
Kaye Hotsenpiller, CEO
(970) 250-5775
Primary Contact
Olathe Community Clinic, Inc
Casey Payne, CFO
(270) 245-7239
Addresses
Street Address
107 W 11th St
Delta, CO 81416
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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