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CH062719A FRONTERA HEALTHCARE NETWORK (Terminated)
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Main Details
Name
FRONTERA HEALTHCARE NETWORK
Subdivision Name
Frontera Healthcare Network - Eden Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008769
340B ID
CH062719A
Grant Number
H80CS08225
Additional Details
Current Program Status
Terminated
Registration Date
12/13/2007
Participating Start Date
1/1/2008
Participating Approval Date
12/14/2007
Last Recertification Date
1/28/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Frontera Healthcare Network
Cam Kleibrink, CEO
(325) 869-5500
Primary Contact
Frontera Healthcare Network
Mindy Speck, CFO
(325) 869-5500
Addresses
Street Address
551 Eaker Street
Eden, TX 76837
Billing Address
FRONTERA HEALTHCARE NETWORK
604 EAKER STREET
PO BOX 989
EDEN, TX 76837
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/29/12 - Changed physical address 13 SOUTH MAIN STREET and AO and contact from Jerrell Mcdonald.
03/29/2012
April 2025
April 2025
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