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CH06325L El Centro Del Barrio (Active)
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Main Details
Name
El Centro Del Barrio
Subdivision Name
CENTROMED SOUTH PARK DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001822
340B ID
CH06325L
Grant Number
H80CS00758
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/23/2004
Last Recertification Date
2/10/2025
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
910 Wagner Ave
San Antonio, TX 78211-3213
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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