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CH06393H 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 - Womens 2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034076
340B ID
CH06393H
Grant Number
H80CS00757
Additional Details
Current Program Status
Active
Registration Date
1/18/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/24/2022
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
625 N Monte Vista St
Ada, OK 74820-4613
Billing Address
Central Oklahoma Family Medical Cen
527 WEST THIRD STREET
KONAWA, OK 74849
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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