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CHC11422-01 MT. ENTERPRISE COMMUNITY HEALTH CLINIC (Active)
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Main Details
Name
MT. ENTERPRISE COMMUNITY HEALTH CLINIC
Subdivision Name
RUSK COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008331
340B ID
CHC11422-01
Grant Number
H80CS12856
Additional Details
Current Program Status
Active
Registration Date
3/4/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/10/2010
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
1115 HWY. 259 SOUTH
HENDERSON, TX 75654
Billing Address
MT. ENTERPRISE COMMUNITY HEALTH CLINIC, INC.
PO BOX 489
MT. 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
April 2025
April 2025
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