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CHC33661-03 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. 1520 N Commerce
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037077
340B ID
CHC33661-03
Grant Number
H80CS33661
Additional Details
Current Program Status
Active
Registration Date
10/11/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/12/2023
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
1520 N Commerce St
Ardmore, OK 73401-1861
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
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