340B Drug Pricing Program Database
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CHC11298-22 TRAVIS COUNTY HEALTHCARE DISTRICT (Terminated)
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Main Details
Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare Ben White Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009598
340B ID
CHC11298-22
Grant Number
H80CS11298
Additional Details
Current Program Status
Terminated
Registration Date
8/11/2010
Participating Start Date
10/1/2010
Participating Approval Date
8/12/2010
Last Recertification Date
2/12/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Central Texas Community Health Centers d.b.a. CommUnityCare Health Centers
Nicholas Yagoda, Imterim CEO
(512) 978-9527
Primary Contact
CommUnityCare Health Centers
Joey Valentino, Pharmacy 340B Program Manager
(512) 978-9083
Addresses
Street Address
1221 W. Ben White Blvd
Austin, TX 78704-7192
Billing Address
TRAVIS COUNTY HEALTH CARE DISTRICT 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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April 2025
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