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CH062780D GREAT SALT PLAINS HEALTH CENTER (Active)
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Main Details
Name
GREAT SALT PLAINS HEALTH CENTER
Subdivision Name
GSP Health Enid West
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033804
340B ID
CH062780D
Grant Number
H80CS08744
Additional Details
Current Program Status
Active
Registration Date
7/10/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/10/2023
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Great Salt Plains Health Center
TIM STARKEY, CEO/EXECUTIVE DIRECTOR
(580) 596-2800
Primary Contact
Great Salt Plains Health Center Inc.
Oliver Gary Lackey, Director of Pharmacy
(405) 876-8069
Addresses
Street Address
5320 W Chestnut Ave
Enid, OK 73703
Billing Address
Great Salt Plains Health Center, Inc.
205 W. Maple
Suite 1000
Enid, OK 73703
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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