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CH062245A NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC (Terminated)
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Main Details
Name
NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC
Subdivision Name
NORTHSIDE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002127
340B ID
CH062245A
Grant Number
H80CS06457
Additional Details
Current Program Status
Terminated
Registration Date
3/2/2006
Participating Start Date
11/18/2005
Participating Approval Date
3/2/2006
Last Recertification Date
2/23/2018
Termination Date
Termination Reason
1/1/2019
Other
Contacts
Authorizing Official
North Texas Area Community Health Centers, Inc.
Gerrie Whitaker, CEO
(817) 546-6478
Primary Contact
North Texas Area Communith Health Center, Inc
JERRY PYRON, CFO
(817) 546-6477
Addresses
Street Address
2106 N Main St
Fort Worth, TX 76164-8511
Billing Address
North Texas Area Community Health Centers, INC
2100 N MAIN STREET, SUITE 110
FORT WORTH, TX 76164
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/20/11 UPDATED SUBDIV NAME (WAS ALBERT GALVAN HEALTH CLINIC); 3/2/06 - WAS PREVIOUSLY LISTED AS CH06224520
04/20/2011
April 2025
April 2025
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