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CH07137AB Southeast Missouri Health Network (Active)
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Main Details
Name
Southeast Missouri Health Network
Subdivision Name
Southeast Health on Wheels
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000577
340B ID
CH07137AB
Grant Number
H80CS00557
Additional Details
Current Program Status
Active
Registration Date
1/16/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/17/2023
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
SEMO Health Network
CHRIS JONES, CEO
(573) 313-2501
Primary Contact
Southeast Missouri Health Network
Mallory Matthews, Chief Clinical Officer
(573) 313-2500
Addresses
Street Address
700 N Douglass St
Malden, MO 63863-1510
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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