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CHC11298-04 TRAVIS COUNTY HEALTHCARE DISTRICT (Terminated)
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Main Details
Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare Manor
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000737
340B ID
CHC11298-04
Grant Number
H80CS11298
Additional Details
Current Program Status
Terminated
Registration Date
6/25/2009
Participating Start Date
12/1/1992
Participating Approval Date
6/25/2009
Last Recertification Date
2/8/2021
Termination Date
Termination Reason
1/1/2022
Site closure
Contacts
Authorizing Official
Central Texas Community Health Centers
Jaeson Fournier, CEO
(512) 978-9050 Ext: 5125954337
Primary Contact
CommUnityCare Health Centers
Joey Valentino, Pharmacy 340B Program Manager
(512) 978-9083
Addresses
Street Address
600 W CARRIE MANOR ST.
MANOR, TX 78653-5035
Billing Address
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
2115 Kramer Ln
Ste 100
AUSTIN, TX 78758
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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