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CH06173J 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 Hwy 73 Campus
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018811
340B ID
CH06173J
Grant Number
H80CS00408
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
Last Recertification Date
2/6/2020
Termination Date
Termination Reason
4/1/2021
Site closure
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
3701 TX-73
Port Arthur, TX 77642-4361
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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