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CHC24197-02 HEALTH SERVICES OF NORTH TEXAS , INC. (Terminated)
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Main Details
Name
HEALTH SERVICES OF NORTH TEXAS , INC.
Subdivision Name
HSNT Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011718
340B ID
CHC24197-02
Grant Number
H80CS24197
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/22/2014
Last Recertification Date
2/16/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Health Services of North Texas
Doreen Rue, CEO
(940) 381-1501 Ext: 3001
Primary Contact
Health Services of North Texas
Anna Contreras, Senior Practice Administrator
(940) 435-9044
Addresses
Street Address
4310 Mesa Dr
Denton, TX 76207-3460
Billing Address
Health Services of North Texas
4401 N. I-35, Ste. 312
Denton, TX 76207
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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