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FQHCLA307 Ector County Hospital District (Active)
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Main Details
Name
Ector County Hospital District
Subdivision Name
Ector County Hospital District
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009709
340B ID
FQHCLA307
Grant Number
LALCS00007
Additional Details
Current Program Status
Active
Registration Date
1/11/2013
Participating Start Date
4/1/2015
Participating Approval Date
2/27/2013
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Family Health Clinic
David M Garcia, Executive Director
(432) 640-4868
Primary Contact
Family Health Clinic
Kendall Murry, Operations Manager
(432) 640-4867
Addresses
Street Address
840 W. Clements
Odessa, TX 79763-4601
Billing Address
Medical Center Hospital
500 W 4th Street
Odessa, TX 79761
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/11/15 participating 4/1/13 thru 3/31/14, not participating 4/1/14 thru 3/31/15 due to failure to recertify, reinstated effective 4/1/15 based on on-line registration submitted in January 2015
02/11/2015
May 2025
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