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CHC11298-16 TRAVIS COUNTY HEALTHCARE DISTRICT (Terminated)
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Main Details
Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare A.K. Black
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001799
340B ID
CHC11298-16
Grant Number
H80CS11298
Additional Details
Current Program Status
Terminated
Registration Date
6/25/2009
Participating Start Date
11/10/2005
Participating Approval Date
6/25/2009
Last Recertification Date
2/26/2016
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
George N. Miller Jr., CEO
(512) 978-9050
Primary Contact
Central Texas Community Health Center d/b/a CommUnityCare
Kristina Klein-Bradham, Pharmacy Director
(512) 978-9068
Addresses
Street Address
928 Blackson Ave
Austin, TX 78752-2740
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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