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CH061223D BRAZOS VALLEY COMMUNITY ACTION AGENCY (Terminated)
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Main Details
Name
BRAZOS VALLEY COMMUNITY ACTION AGENCY
Subdivision Name
ROBERTSON COUNTY COMM HLTH CLIN
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005234
340B ID
CH061223D
Grant Number
H80CS00299
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2013
Participating Start Date
10/1/2013
Participating Approval Date
8/23/2013
Last Recertification Date
2/11/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Brazos Valley Community Action Agency, Inc. dba HealthPoint
Theresa Sabella, Dr.
(979) 383-2348
Primary Contact
Brazos Valley Community Action Agency, Inc. dba HealthPoint
John Bearden, Director of Pharmacy
(979) 977-6384
Addresses
Street Address
1000 W BROWN ST
HEARNE, TX 77859-3063
Billing Address
Brazos Valley Community Action Agency, Inc.
1500 University Drive East
College Station, TX 77840
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/24/2014 Site terminated in error; recertification complete.
03/24/2014
April 2025
April 2025
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