Children’s hospital · MO
McCoy & Samples Dental Clinic
Filed as NORTHWEST HEALTH SERVICES, INC..
Taking partNoTermination date filed1 April 2022Last certified10 February 2021
- 0Registered locations
- 1Associated locations
- 1Contract pharmacies
- 0With no end date
- 1 October 2013In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
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Cite this page
Velarion Records, “McCoy & Samples Dental Clinic”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/CH07213Z. Accessed 9 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 October 2013
- Termination date
- 1 April 2022
- Termination reason
- Business decision by the Covered Entity
- Certification date
- 10 February 2021
- Record last edited
- 1 April 2022
Identifiers
- 340B ID
- CH07213Z
- Entity type as filed
- CH
- Site ID
- BPS-H80-007618
- Grant number
- H80CS00671
- NPI
- 1013297530 (MO)
850 Fairway Dr, Chillicothe MO 64601
Associated locations
| McCoy & Samples Dental Clinic | 850 Fairway Dr | Chillicothe MO 64601 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed1
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| SAVANNAH FAMILY PHARMACY | SAVANNAH, MO | 1 April 2018 | 1 April 2022 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.