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CH062248B MIDLAND COMMUNITY HEALTHCARE SERVICES (Active)
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Main Details
Name
MIDLAND COMMUNITY HEALTHCARE SERVICES
Subdivision Name
MCHS Pediatric Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030519
340B ID
CH062248B
Grant Number
H80CS06455
Additional Details
Current Program Status
Active
Registration Date
3/8/2006
Participating Start Date
1/1/2005
Participating Approval Date
3/8/2006
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
MCHS
Michael Austin, CEO
(432) 570-0238
Primary Contact
Midland Community Healthcare Services
Susan Marts, Compliance
(432) 570-0238 Ext: 124
Addresses
Street Address
4214 Andrews Hwy Ste 310
Midland, TX 79703-6357
Billing Address
MIDLAND COMMUNITY HEALTHCARE SERVICES, INC.
PO BOX 5576
MIDLAND, TX 79704
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/8/06 - REPLACES FQHCLA177B
03/08/2006
April 2025
April 2025
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