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CH062797F AMISTAD COMMUNITY HEALTH CENTER, INCORPORATED (Approved)
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Main Details
Name
AMISTAD COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
Calderon Clinic Robstown
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039786
340B ID
CH062797F
Grant Number
H80CS08778
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/9/2025
Last Recertification Date
Contacts
Authorizing Official
Amistad Community Health Center
Eric Baggerman, CEO
(361) 960-9052
Primary Contact
Amistad Community Health Center Inc
Leo Trevino, Staff Accountant
(361) 886-3033
Addresses
Street Address
710 E Main Ave
Robstown, TX 78380-3133
Billing Address
Amistad Community Health Center
1533 S Brownlee Blvd
Corpus Christi, TX 78404
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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