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CH062776B HEALTH CENTER OF SOUTHEAST TEXAS (Active)
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Main Details
Name
HEALTH CENTER OF SOUTHEAST TEXAS
Subdivision Name
Health Center of Southeast Texas - Liberty
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038082
340B ID
CH062776B
Grant Number
H80CS08770
Additional Details
Current Program Status
Active
Registration Date
4/2/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/16/2015
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Health Center of Southeast Texas
Steven Racciato, CEO
(281) 592-2224 Ext: 218
Primary Contact
Health Center of Southeast Texas
Andee Kesner, Pharmacy Director
(281) 592-2224 Ext: 257
Addresses
Street Address
1400 N Travis St
LIBERTY, TX 77575-3540
Billing Address
Health Center of Southeast Texas
307 N William Barnett Ave
Cleveland, TX 77327
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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