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CHC07502-06 Legacy Community Health Services, Inc. (Terminated)
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Main Details
Name
Legacy Community Health Services, Inc.
Subdivision Name
Legacy Ubi Caritas Campus
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012206
340B ID
CHC07502-06
Grant Number
H80CS07502
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/8/2013
Last Recertification Date
1/28/2020
Termination Date
Termination Reason
10/1/2020
Site closure
Contacts
Authorizing Official
Legacy Community Health Services
Katy Caldwell, Executive Director
(832) 548-5050
Primary Contact
Legacy Community Health Services
Delayna Judy, VP of Accounting
(832) 548-5083
Addresses
Street Address
4450 Highland Ave
Beaumont, TX 77705-5205
Billing Address
Legacy Community Health Services
PO Box 66308
Houston, TX 77266
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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