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FP762013 HEALTH SERVICES OF NORTH TEXAS, INC. (Terminated)
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Main Details
Name
HEALTH SERVICES OF NORTH TEXAS, INC.
Subdivision Name
HSNT at Serve Denton - L288
Type
Family Planning (Title X only)
340B ID
FP762013
Grant Number
FPHPA006521
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
10/1/2015
Participating Approval Date
2/17/2005
Last Recertification Date
5/12/2022
Termination Date
Termination Reason
7/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Health Services of North Texas
Doreen Rue, CEO
(940) 381-1501 Ext: 3001
Primary Contact
Health Services of North Texas
Anna Contreras, Senior Practice Administrator
(940) 435-9044
Addresses
Street Address
306 N Loop 288
200
Denton, TX 76209
Billing Address
Health Services of North Texas, Inc
4401 N. I-35
Suite 312
Denton, TX 76207-3318
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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9/3/15 participating 1/1/98 until terminated 7/1/15, reinstated effective 10/1/15
09/03/2015
5/12/2010- UPDATED ADD. (WAS 525 SOUTH LOOP 288,SUITE A, 76205) & BILLING ADD (WAS PO BOX 1611,DENTON,76202) ; 3/22/10 UPDATED ADDR (WAS ZIP:76201); 9/9/04 CORRECTED ENTITY ADDRESS, ADDED BILL TO
05/12/2010
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