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CH06173H GULF COAST HEALTH CENTER, INC. (Terminated)
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Main Details
Name
GULF COAST HEALTH CENTER, INC.
Subdivision Name
Gulf Coast Health Center, Inc. - Jasper Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017298
340B ID
CH06173H
Grant Number
H80CS00408
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/12/2016
Last Recertification Date
2/6/2020
Termination Date
Termination Reason
4/1/2021
Other
Contacts
Authorizing Official
Gulf Coast Health Center, Inc.
Marsha E. Thigpen, Executive Director
(409) 983-1161 Ext: 880
Primary Contact
Gulf Coast Health Center, Inc.
Keren Arledge, Executive Administrative Assistant
(409) 983-1161 Ext: 880
Addresses
Street Address
103 W Gibson Suite 112
Jasper, TX 75951
Billing Address
Gulf Coast Health Center, Inc.
2548 Memorial Blvd
Port Arthur, TX 77640
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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