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CH071496H REGIONAL HEALTH CARE CLINIC, INC. (Active)
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Main Details
Name
REGIONAL HEALTH CARE CLINIC, INC.
Subdivision Name
Katy Trail Community Health Ivy Bend
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029443
340B ID
CH071496H
Grant Number
H80CS06668
Additional Details
Current Program Status
Active
Registration Date
1/15/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Katy Trail Community Health
Michael Waller, CEO
(208) 800-8676
Primary Contact
Regional Care Clinic
ana dale, director of pharamcy
(660) 310-0809
Addresses
Street Address
41569 Ivy Bend Rd
Stover, MO 65078-2177
Billing Address
Katy Trail Community Health East
305 W. Main Street
Sedalia, MO 65301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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