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CHC12883-03 South Central Medical & Resource Center (Active)
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Main Details
Name
South Central Medical & Resource Center
Subdivision Name
South Central Medical Center-Chickasha
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030056
340B ID
CHC12883-03
Grant Number
H80CS12883
Additional Details
Current Program Status
Active
Registration Date
1/13/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
SOuth Central Medical Center
Tamara L Aprill, HR Director/Executive Assistant
(405) 756-4601
Primary Contact
South Central Medical Center
Kimberly Smith, Operations Director
(405) 756-1414
Addresses
Street Address
2222 W Iowa Ave
Chickasha, OK 73018-2738
Billing Address
South Central Medical Center
216 S Main St
Lindsay, OK 73052
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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