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CHC07502-31 LEGACY COMMUNITY HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
LEGACY COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
KIPP West - Unity
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019109
340B ID
CHC07502-31
Grant Number
H80CS07502
Additional Details
Current Program Status
Terminated
Registration Date
1/17/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/17/2017
Last Recertification Date
1/28/2020
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Legacy Community Health Services
Katy Caldwell, Executive Director
(832) 548-5050
Primary Contact
Legacy Community Health Services
Delayna Judy, VP of Accounting
(832) 548-5083
Addresses
Street Address
8500 HIGHWAY 6 S
Houston, TX 77083-5709
Billing Address
Legacy Community Health Services
PO Box 66308
Houston, TX 77266
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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