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CHC11255-05 STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Velasco Elementary Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018803
340B ID
CHC11255-05
Grant Number
H80CS11255
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/18/2017
Last Recertification Date
1/30/2019
Termination Date
Termination Reason
4/1/2020
Failure to recertify
Contacts
Authorizing Official
Stephen F. Austin Community Health Center
Mark Young, CEO
(281) 824-1480
Primary Contact
Stephen F. Austin Community Health Center
Linh Tran, CFO
(281) 824-1480 Ext: 1595
Addresses
Street Address
401 North Gulf Blvd.
Freeport, TX 77541
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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