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CH06161D COASTAL HEALTH & WELLNESS (Active)
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Main Details
Name
COASTAL HEALTH & WELLNESS
Subdivision Name
Coastal Health & Wellness - Texas City
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011462
340B ID
CH06161D
Grant Number
H80CS00344
Additional Details
Current Program Status
Active
Registration Date
4/1/1996
Participating Start Date
4/1/1996
Participating Approval Date
1/21/2010
Last Recertification Date
2/13/2025
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
9850-C Emmett F. Lowry Expressway STE C103
Texas City, TX 77591
Billing Address
Coastal Health & Wellness
P.O. Box 939
La Marque, TX 77568
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/22/05 UPDATED ENTITY NAME
01/21/2010
April 2025
April 2025
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