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RWII78401 Coastal Bend Wellness Foundation (Terminated)
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Main Details
Name
Coastal Bend Wellness Foundation
Subdivision Name
Type
Ryan White Part B
340B ID
RWII78401
Grant Number
X07HA00054
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/10/2013
Last Recertification Date
2/15/2016
Time Period the Assistance was Received
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
Coastal Ben d Wellness Foundation
Bill Hoelscher, CEO
(361) 814-2001 Ext: 222
Primary Contact
Coastal Bend Wellness Foundation
J.R. De La Garza, Chief Operating Officer
(361) 814-2001 Ext: 220
Addresses
Street Address
5633 S. Staples
Suite 700
Corpus Christi, TX 78414
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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