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CH061949C LONE STAR CIRCLE OF CARE (Active)
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Main Details
Name
LONE STAR CIRCLE OF CARE
Subdivision Name
Lone Star Circle of Care at Georgetown Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018472
340B ID
CH061949C
Grant Number
H80CS04289
Additional Details
Current Program Status
Active
Registration Date
2/15/2006
Participating Start Date
7/1/2004
Participating Approval Date
2/15/2006
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Lone Star Circle of Care
Jon Calvin, CEO
(512) 686-0523 Ext: 10451
Primary Contact
Lone Star Circle of Care
Corbin Ferrell, Director of Pharmacy Operations
(512) 686-0155 Ext: 3
Addresses
Street Address
2411 Williams Dr Ste 111
Georgetown, TX 78628
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/5/09 ADDR CHANGE (WAS 950 WEST UNIVERSITY AVENUE, SUITE 104) REPLACES FQHCLA166B
08/05/2009
April 2025
April 2025
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