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CH06161E COASTAL HEALTH & WELLNESS (Active)
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Main Details
Name
COASTAL HEALTH & WELLNESS
Subdivision Name
Coastal Health & Wellness - Galveston
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001376
340B ID
CH06161E
Grant Number
H80CS00344
Additional Details
Current Program Status
Active
Registration Date
7/1/1997
Participating Start Date
7/1/1997
Participating Approval Date
3/4/2004
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Coastal Health & Wellness
Lane Baker, Chief Operating Officer
(254) 223-3307
Primary Contact
Coastal Health & Wellness
Taylor Silvas, Pharmacy Program Specialist
(409) 978-4219
Addresses
Street Address
4700 BROADWAY STREET STE 100
GALVESTON, TX 77551-4241
Billing Address
Coastal Health & Wellness
P.O. Box 939
La Marque, TX 77568
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/22/05 REMOVED MEDICAID # (WAS FQ0000028)
01/21/2010
April 2025
April 2025
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