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CHC11298-23 TRAVIS COUNTY HEALTHCARE DISTRICT (Terminated)
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Main Details
Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare Women's Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009948
340B ID
CHC11298-23
Grant Number
H80CS11298
Additional Details
Current Program Status
Terminated
Registration Date
9/15/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/15/2010
Last Recertification Date
1/25/2017
Termination Date
Termination Reason
4/1/2018
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
1313 Red River, Suite 320
Austin, TX 78701
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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