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CH061010 MARTIN LUTHER KING JR FAMILY CLINIC INC (Active)
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Main Details
Name
MARTIN LUTHER KING JR FAMILY CLINIC INC
Subdivision Name
MARTIN LUTHER KING, JR. FAMILY CLINIC, INC. dba Foremost Family Health Centers
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001291
340B ID
CH061010
Grant Number
H80CS00127
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/1/1992
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Martin Luther King, Jr. Family Clinic
JOYCE E. TAPLEY, CEO
(469) 601-9360
Primary Contact
Martin Luther King Jr. Family Clinic
Herron Mitchell, Chief Operations Officer
(469) 451-8740
Addresses
Street Address
2922B Martin Luther King Jr Blvd
Dallas, TX 75215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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