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CHC24102-10 BIGHORN VALLEY HEALTH CENTER INC (Active)
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Main Details
Name
BIGHORN VALLEY HEALTH CENTER INC
Subdivision Name
One Health - Powell
Type
HRSA-Funded Health Center
Site ID
BPS-H80-040012
340B ID
CHC24102-10
Grant Number
H80CS24102
Additional Details
Current Program Status
Active
Registration Date
12/7/2022
Participating Start Date
12/8/2022
Participating Approval Date
12/8/2022
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Bighorn Valley Health Center, Inc.
David A. Mark, Chief Executive Officer
(406) 665-4103
Primary Contact
Bighorn Valley Health Center, Inc
Stephanie Chosa, Chief Pharmacist
(406) 665-4103
Addresses
Street Address
1201 E 7th St
Powell, WY 82435
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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