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CHC28966-03 Kansas City CARE Clinic (Terminated)
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Main Details
Name
Kansas City CARE Clinic
Subdivision Name
Kansas City CARE Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028169
340B ID
CHC28966-03
Grant Number
H80CS28966
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
2/15/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Kansas City CARE Clinic
Dennis Dunmyer, Chief Operating Officer
(816) 777-2726
Primary Contact
Kansas City CARE Clinic
Kamile Johnson, Vice President of Pharmacy Services
(816) 777-2798
Addresses
Street Address
1106 E 30th St Ste B
Kansas City, MO 64109-1507
Billing Address
Kansas City CARE Clinic
3515 Broadway Blvd
Kansas City, MO 64111
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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