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CH06011A JEFFERSON COMPREHENSIVE CARE SYSTEM, INC. (Active)
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Main Details
Name
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC.
Subdivision Name
COLLEGE STATION CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004771
340B ID
CH06011A
Grant Number
H80CS00727
Additional Details
Current Program Status
Active
Registration Date
12/4/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/4/2006
Last Recertification Date
3/7/2025
Contacts
Authorizing Official
Jefferson Comprehensive Care System, Inc
Sandra J. Brown, Chief Executive Officer
(870) 543-2300
Primary Contact
Jefferson Comprehensive Care System, Inc.
Chanda Evans-McField, Chief Financial Officer
(870) 543-2300
Addresses
Street Address
4206 FRAZIER PIKE
COLLEGE STATION, AR 72053
Billing Address
JEFFERSON COMPREHENSIVE CARE SYSTEM INC
PO BOX 1285
PINE BLUFF, AR 71613-1285
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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