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CH061260 EAST TEXAS COMMUNITY HEALTH SERVICES, INC (Active)
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Main Details
Name
EAST TEXAS COMMUNITY HEALTH SERVICES, INC
Subdivision Name
Eastside Community Clinic #2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008873
340B ID
CH061260
Grant Number
H80CS00793
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
8/26/2003
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
East Texas Community Health Services, Inc.
Paige Murdock, CFO
(936) 560-5413 Ext: 1138
Primary Contact
East Texas Community Health Services, Inc.
Amelia Commander, COO
(936) 560-5413
Addresses
Street Address
1309 S University Dr
Nacogdoches, TX 75961-6486
Billing Address
EAST TEXAS COMMUNITY HEALTH SERVICES / EASTSIDE CLINIC
P O BOX 632040
NACOGDOCHES, TX 75963-2040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/26/03 ADD P O BOX; 7/20/07 CONVERTED ADDR LINE 2 TO BILL TO
07/20/2007
April 2025
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