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CHC08217-06 LONGVIEW WELLNESS CENTER, INC. (Terminated)
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Main Details
Name
LONGVIEW WELLNESS CENTER, INC.
Subdivision Name
Wellness Pointe - Longview North
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014542
340B ID
CHC08217-06
Grant Number
H80CS08217
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/16/2015
Last Recertification Date
2/2/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Wellness Pointe
Chad Jones, Chief Executive Officer
(903) 212-4777
Primary Contact
Wellness Pointe
Tamiko Richardson, Corporate Compliance Officer
(903) 212-4771
Addresses
Street Address
805 Medical Circle, Suite A
Longview, TX 75605-5130
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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