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CH06325S El Centro Del Barrio (Terminated)
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Main Details
Name
El Centro Del Barrio
Subdivision Name
CENTROMED RESPITE DAY CARE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001490
340B ID
CH06325S
Grant Number
H80CS00758
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/23/2004
Last Recertification Date
2/10/2017
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
CemrtoMed
Ernesto Gomez, President / CEO
(210) 334-3703
Primary Contact
CentroMed
Don Macaulay, VP / Chief Operating Officer
(210) 334-3705
Addresses
Street Address
510 Belknap Pl
San Antonio, TX 78212-3400
Billing Address
El Centro del Barrio dba CentroMed
3750 Commercial Ave
San Antonio, TX 78221
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 01/01/2005
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June 2025
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