No
Gulf Coast Health Center, Inc.
2548 Memorial Blvd
Port Arthur, TX 77642
| CH061730 | Active | BPS-H80-000555 | GULF COAST HEALTH CENTER, INC. | GULF COAST HEALTH CENTER, INC. - PORT ARTHUR | 2548 Memorial Blvd | | Port Arthur | TX |
| CH06173A | Active | BPS-H80-24601 | GULF COAST HEALTH CENTER, INC. - Port Arthur | Gulf Coast Health Center, Inc. - Silsbee | 755 N 4th Street | | Silsbee | TX |
| CH06173B | Active | BPS-H80-028107 | GULF COAST HEALTH CENTER, INC. | GULF COAST HEALTH CENTER, INC. - JASPER | 561 State Street | | Jasper | TX |
| CH06173C | Terminated | BPS-H80-011888 | GULF COAST HEALTH CENTER, INC. | GULF COAST HEALTH CENTER, INC. - ORANGE | 1301 W PARK AVE STE C | | ORANGE | TX |
| CH06173F | Active | BPS-H80-012654 | GULF COAST HEALTH CENTER, INC. | GULF COAST HEALTH CENTER, INC. - WEST SIDE | 601 Rev Ransom Howard BLDG B | | Port Arthur | TX |
| CH06173G | Active | BPS-H80-012207 | GULF COAST HEALTH CENTER, INC. | Gulf Coast Health Center - Mobile 1 | 2548 Memorial Blvd | | Port Arthur | TX |
| CH06173H | Terminated | BPS-H80-017298 | GULF COAST HEALTH CENTER, INC. | Gulf Coast Health Center, Inc. - Jasper Dental | 103 W Gibson Suite 112 | | Jasper | TX |
| CH06173J | Terminated | BPS-H80-018811 | GULF COAST HEALTH CENTER, INC. | Gulf Coast Health Center Inc Hwy 73 Campus | 3701 TX-73 | | Port Arthur | TX |
| CH06173K | Active | BPS-H80-021776 | Gulf Coast Health Center, Inc. | Gulf Coast Health Center Inc. Orange | 610 Strickland Drive Suite 380 | | Orange | TX |
| CH06173L | Active | BPS-H80-031620 | Gulf Coast Health Center, Inc. | Gulf Coast Health Center Inc. Mobile Unit | 561 State Street | | Jasper | TX |
| CH06173M | Active | BPS-H80-035014 | Gulf Coast Health Center, Inc. | Gulf Coast Health Center - Phillis Wheatley School of Early Childhood Programs SBHC | 1100 Jefferson Dr | | Port Arthur | TX |
| CH06173N | Active | BPS-H80-036020 | Gulf Coast Health Center, Inc. | GCHC Port Arthur Park Plaza Site | 2927 Park Plaza Lane | | Port Arthur | TX |
| CH06173P | Active | BPS-H80-024601 | Gulf Coast Health Center, Inc. | GULF COAST HEALTH CENTER, INC. - SILSBEE | 755 N 4th St | | Silsbee | TX |
| CH06173Q | Active | BPS-H80-035017 | Gulf Coast Health Center, Inc. | Gulf Coast Health Center - Memorial High School SBHC | 3501 Sgt Lucien Adams Blvd | | Port Arthur | TX |
| Details | Last Recertification Date | Update | Recertification | 2/8/2024 12:48:42 PM | 2/14/2025 8:33:22 PM | 2/14/2025 8:33 PM |
| Details | Last Recertification Date | Update | Recertification | | 2/8/2024 12:48:42 PM | 2/8/2024 12:48 PM |
| Details | State | Update | | Approved | Active | 7/1/2023 12:01 AM |
| Contacts | Signed By | Insert | New Registration | | Thigpen, Marsha E.
Executive Director
Gulf Coast Health Center, Inc.
4099831161-880 | 4/14/2023 11:16 AM |
| Details | 340B ID | Update | New Registration | | CH06173N | 4/14/2023 11:16 AM |
| Dates | Participating Approval Date | Update | New Registration | | 4/14/2023 11:16:17 AM | 4/14/2023 11:16 AM |
| Details | State | Update | New Registration | Pending | Approved | 4/14/2023 11:16 AM |
| Dates | Signed By Date | Update | New Registration | | 4/13/2023 5:03:12 PM | 4/14/2023 11:16 AM |
| Dates | Start Date | Update | New Registration | | 7/1/2023 12:00:00 AM | 4/14/2023 11:16 AM |
| Addresses | Main Address | Insert | New Registration | |
2927 Park Plaza Lane
Port Arthur, TX 77642-5516 | 4/13/2023 5:03 PM |
| Addresses | Billing Address | Insert | New Registration | | Gulf Coast Health Center, Inc.
2548 Memorial Blvd
Port Arthur, TX 77642 | 4/13/2023 5:03 PM |
| Addresses | Shipping Address | Insert | New Registration | | Gulf Coast Health Center, Inc.
2548 Memorial Blvd
Port Arthur, TX 77642 | 4/13/2023 5:03 PM |
| Contacts | Authorizing Official | Insert | New Registration | | Thigpen, Marsha E.
Executive Director
Gulf Coast Health Center, Inc.
4099831161-880 | 4/13/2023 5:03 PM |
| Contacts | Primary Contact | Insert | New Registration | | Arledge, Keren
Executive Administrative Assistant
Gulf Coast Health Center, Inc.
4099831161-880 | 4/13/2023 5:03 PM |
| Details | Assistance Received From Date | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Details | Assistance Received To Date | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Details | Grant Number | Insert | New Registration | | H80CS00408 | 4/13/2023 5:03 PM |
| Details | 340B ID | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Details | Entity Name | Insert | New Registration | | Gulf Coast Health Center, Inc. | 4/13/2023 5:03 PM |
| Details | NOFO Number | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Details | Program Code | Insert | New Registration | | CH | 4/13/2023 5:03 PM |
| Details | Entity Subname | Insert | New Registration | | GCHC Port Arthur Park Plaza Site | 4/13/2023 5:03 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Details | State | Insert | New Registration | | Pending | 4/13/2023 5:03 PM |
| Dates | Registration Date | Insert | New Registration | | 4/13/2023 5:03:08 PM | 4/13/2023 5:03 PM |
| Dates | Signed By Date | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Dates | Start Date | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Terminations | Termination Date | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 4/13/2023 5:03 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 4/13/2023 5:03 PM |