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CHC11422-00 MT. ENTERPRISE COMMUNITY HEALTH CLINIC (Active)
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Main Details
Name
MT. ENTERPRISE COMMUNITY HEALTH CLINIC
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008330
340B ID
CHC11422-00
Grant Number
H80CS12856
Additional Details
Current Program Status
Active
Registration Date
3/3/2010
Participating Start Date
10/1/2007
Participating Approval Date
9/5/2007
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Mt. Enterprise Community Health Center
Becky Lynn Eldridge, Executive Director
(903) 392-8203 Ext: 101
Primary Contact
Mt. Enterprise Community Health Center
Karina H Cibrian, QA/QI Director
(903) 392-8203 Ext: 107
Addresses
Street Address
106 WEST RUSK STREET
MT. ENTERPRISE, TX 75681
Billing Address
MOUNT ENTERPRISE COMMUNITY HEALTH CLINIC
PO BOX 489
MOUNT ENTERPRISE, TX 75681
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/17/2010 UPDATED GRANT NUMBER (WAS H8ACS11422);
01/31/2011
May 2025
May 2025
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