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CH06161G COASTAL HEALTH & WELLNESS (Active)
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Main Details
Name
COASTAL HEALTH & WELLNESS
Subdivision Name
Coastal Health & Wellness - TCISD SBHC Calvin Vincent
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038375
340B ID
CH06161G
Grant Number
H80CS00344
Additional Details
Current Program Status
Active
Registration Date
5/29/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/31/2024
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Coastal Health & Wellness
Lane Baker, Chief Operating Officer
(254) 223-3307
Primary Contact
Coastal Health & Wellness
Taylor Silvas, Pharmacy Program Specialist
(409) 978-4219
Addresses
Street Address
1805 13th Ave N
Texas City, TX 77590-5498
Billing Address
Coastal Health & Wellness
PO Box 939
La Marque, TX 77568
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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