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CH06325X El Centro Del Barrio (Terminated)
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Main Details
Name
El Centro Del Barrio
Subdivision Name
CENTROMED CITY BASE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010952
340B ID
CH06325X
Grant Number
H80CS00758
Additional Details
Current Program Status
Terminated
Registration Date
1/25/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/6/2012
Last Recertification Date
1/28/2020
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
CemrtoMed
Ernesto Gomez, President / CEO
(210) 334-3703
Primary Contact
CentroMed
Don Macaulay, VP / Chief Operating Officer
(210) 334-3705
Addresses
Street Address
3127 SE MILITARY STE 101
SAN ANTONIO, TX 78223-3990
Billing Address
El Centro del Barrio dba CentroMed
3750 Commercial Ave
San Antonio, TX 78221
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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