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CH07030AB NORTHEAST MISSOURI HEALTH COUNCIL, INC. (Active)
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Main Details
Name
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Subdivision Name
Northeast Missouri Mobile Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030481
340B ID
CH07030AB
Grant Number
H80CS00731
Additional Details
Current Program Status
Active
Registration Date
10/6/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/13/2020
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Northeast Missouri Health Council, Inc
ANDREW GRIMM, EXECUTIVE DIRECTOR
(660) 627-5757
Primary Contact
Northeast Missouri Health Council, Inc
Emily Darr, CFO
(660) 627-5757
Addresses
Street Address
1506 Crown Dr
Kirksville, MO 63501
Billing Address
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
1416 CROWN DRIVE
KIRKSVILLE, MO 63501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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