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CH06393G CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.
Subdivision Name
Central Oklahoma Family Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033497
340B ID
CH06393G
Grant Number
H80CS00757
Additional Details
Current Program Status
Active
Registration Date
1/4/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/6/2022
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Central Oklahoma Family Medical Center, Inc.
Brenda Ware, CEO
(580) 925-3286 Ext: 227
Primary Contact
Central Oklahoma Family Medical Center
Randy Grimes, Director of Pharmacies
(580) 925-3286
Addresses
Street Address
301 N Monte Vista St
Ada, OK 74820-4607
Billing Address
Central Oklahoma Family Medical Center
527 WEST THIRD STREET
KONAWA, OK 74849
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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