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CH0611930 KIAMICHI FAMILY MEDICAL CENTER (Active)
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Main Details
Name
KIAMICHI FAMILY MEDICAL CENTER
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013671
340B ID
CH0611930
Grant Number
H80CS00267
Additional Details
Current Program Status
Active
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
1/1/2003
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Kiamichi Family Medical Center, Inc.
Amy Gilbreath, CEO
(580) 286-6688
Primary Contact
Kiamichi Family Medical Center, Inc
Scott Rickey, CFO
(580) 286-6688
Addresses
Street Address
6026 BATTIEST PICKENS RD
BROKEN BOW, OK 74728-5037
Billing Address
Kiamichi Family Medical Center
PO Box 180
Battiest, OK 74722
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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