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CHC26585-03 Community Health Center of Northeast Oklahoma, Inc. (Active)
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Main Details
Name
Community Health Center of Northeast Oklahoma, Inc.
Subdivision Name
Afton Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021182
340B ID
CHC26585-03
Grant Number
H80CS26585
Additional Details
Current Program Status
Active
Registration Date
7/3/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/5/2018
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Health Center of Northeast Oklahoma, Inc
Janet Mendez, Chief Operating Officer
(918) 257-8029
Primary Contact
Community Health Center of Northeast Oklahoma, Inc.
Shandi Guertin, Informatics and Telehealth Coordinator
(918) 257-8029
Addresses
Street Address
21965 Bison Drive
Afton, OK 74331-1822
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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