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CH06101A MARTIN LUTHER KING JR FAMILY CLINIC INC (Active)
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Main Details
Name
MARTIN LUTHER KING JR FAMILY CLINIC INC
Subdivision Name
Foremost Family Health Center - Balch Springs
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012939
340B ID
CH06101A
Grant Number
H80CS00127
Additional Details
Current Program Status
Active
Registration Date
10/15/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/23/2014
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
3515 Shepherd Ln
Balch Springs, TX 75180-2325
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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