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CHC10583-02 EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC (Active)
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Main Details
Name
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC
Subdivision Name
ECO Family Health Center-Henryetta Behavioral Health Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011618
340B ID
CHC10583-02
Grant Number
H80CS10583
Additional Details
Current Program Status
Active
Registration Date
1/23/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
East Central Oklahoma Family Health Center, Inc,
DONNA DYER, CEO
(405) 452-3151 Ext: 4101
Primary Contact
East Central Oklahoma Family Health Center, Inc
Denice Hicks, CFO
(405) 452-3151 Ext: 4102
Addresses
Street Address
1102 W Main St
Henryetta, OK 74437-4232
Billing Address
East Central Oklahoma Family Health Center
120 E. Broadway
PO Box 236
Wetumka, OK 74883-0236
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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