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CH07402D CROSS TRAILS MEDICAL CENTER (Active)
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Main Details
Name
CROSS TRAILS MEDICAL CENTER
Subdivision Name
CROSS TRAILS MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005067
340B ID
CH07402D
Grant Number
H80CS00211
Additional Details
Current Program Status
Active
Registration Date
4/14/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/19/2023
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Cross Trails Medical Center
Amy D Lanzotti, CFO
(573) 339-1196
Primary Contact
Crosstrails Medical Center
Richard Francis, CEO
(573) 339-1196
Addresses
Street Address
106 NORTH OAK STREET
ADVANCE, MO 63730
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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