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CH06393Q 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 - Seminole II
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036158
340B ID
CH06393Q
Grant Number
H80CS00757
Additional Details
Current Program Status
Active
Registration Date
4/3/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/10/2023
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
2249 Boren Blvd
Seminole, OK 74868-1927
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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