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CHC26564-05 South Central Missouri Community Health Center (Active)
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Main Details
Name
South Central Missouri Community Health Center
Subdivision Name
Four Rivers Community Health Center St Robert
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032411
340B ID
CHC26564-05
Grant Number
H80CS26564
Additional Details
Current Program Status
Active
Registration Date
7/26/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/27/2021
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
South Central Missouri Community Health Center
Stuart Hunter Gipson, CEO
(417) 576-7273
Primary Contact
Four Rivers Community Health Center
Angela M Brooks, Director of Pharmacy Services
(573) 545-5934
Addresses
Street Address
165 Park Dr
Saint Robert, MO 65584-7860
Billing Address
Four Rivers Community Health Center
1081 East 18th Street
Rolla, MO 65401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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