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CHC33661-02 GOOD SHEPHERD COMMUNITY CLINIC, INC. (Active)
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Main Details
Name
GOOD SHEPHERD COMMUNITY CLINIC, INC.
Subdivision Name
Good Shepherd Community Clinic, Inc. - 1116 Walnut
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032331
340B ID
CHC33661-02
Grant Number
H80CS33661
Additional Details
Current Program Status
Active
Registration Date
10/3/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/4/2023
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Good Shepherd Community Clinic, Inc.
Teresa Mae Myers, CEO
(580) 465-3545
Primary Contact
Good Shepherd Community Clinic, Inc.
Heidi Brooke Wright, Pharmacy Director
(580) 223-3411 Ext: 238
Addresses
Street Address
1116 Walnut Dr
Ardmore, OK 73401-2353
Billing Address
Good Shepherd Community Clinic, Inc.
20 12th Ave NW
Ardmore, OK 73401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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