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CH07449L Ozark Tri-County Health Care Consortium (Terminated)
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Main Details
Name
Ozark Tri-County Health Care Consortium
Subdivision Name
ACCESS Family Care- Nevada
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018591
340B ID
CH07449L
Grant Number
H80CS00673
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/17/2019
Last Recertification Date
2/12/2020
Termination Date
Termination Reason
7/1/2020
Other
Contacts
Authorizing Official
Ozark Tri-County Health Care Consortium
Don McBride, CEO
(417) 451-9450 Ext: 212
Primary Contact
Ozark Tri-County Health Care Consortium
Tina Pham, CCO
(417) 451-9450 Ext: 222
Addresses
Street Address
204 N. Cedar St
Nevada, MO 64772-2310
Billing Address
Ozark Tri-County Health Care Consortium DBA Access Family Care
PO Box 758
Neosho, MO 64850
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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