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CHC26585-04 Community Health Center of Northeast Oklahoma, Inc. (Active)
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Main Details
Name
Community Health Center of Northeast Oklahoma, Inc.
Subdivision Name
Vinita Community Health Cetner
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024874
340B ID
CHC26585-04
Grant Number
H80CS26585
Additional Details
Current Program Status
Active
Registration Date
7/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/17/2019
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
244 S Scraper St
Vinita, OK 74301-3740
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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