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FQHCLA400 HOPE FAMILY CARE CENTER (Terminated)
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Main Details
Name
HOPE FAMILY CARE CENTER
Subdivision Name
Hope Family Care Center, 3027 Prospect Ave., Kansas City, MO 64128
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-017058
340B ID
FQHCLA400
Grant Number
LALCS00175
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/12/2019
Last Recertification Date
1/31/2023
Termination Date
Termination Reason
4/1/2024
Failure to recertify
Contacts
Authorizing Official
Hope Family Care Center
Ken Klingensmith, CEO
(713) 818-5557
Primary Contact
Hope Family Care Center
Tom Kettler, Medical Director
(816) 861-6500
Addresses
Street Address
3027 PROSPECT AVE
KANSAS CITY, MO 64128-1530
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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