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CH061949G LONE STAR CIRCLE OF CARE (Terminated)
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Main Details
Name
LONE STAR CIRCLE OF CARE
Subdivision Name
Lone Star Circle of Care OB/GYN at Round Rock
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003095
340B ID
CH061949G
Grant Number
H80CS04289
Additional Details
Current Program Status
Terminated
Registration Date
3/12/2007
Participating Start Date
4/1/2007
Participating Approval Date
3/12/2007
Last Recertification Date
2/6/2023
Termination Date
Termination Reason
4/1/2023
Site closure
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
2300 ROUND ROCK AVE. STE 106
ROUND ROCK, TX 78681-4025
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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06/17/09 UPDATED ADDR (WAS SUITE 202)
01/08/2010
April 2025
April 2025
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