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CHC11422-02 MOUNT ENTERPRISE COMMUNITY HEALTH CLINIC (Active)
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Main Details
Name
MOUNT ENTERPRISE COMMUNITY HEALTH CLINIC
Subdivision Name
Crossroads Family Care Palestine
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022085
340B ID
CHC11422-02
Grant Number
H80CS12856
Additional Details
Current Program Status
Active
Registration Date
5/15/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/24/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Mt. Enterprise Community Health Center
Becky Lynn Eldridge, Executive Director
(903) 392-8203 Ext: 101
Primary Contact
Mt. Enterprise Community Health Center
Karina H Cibrian, QA/QI Director
(903) 392-8203 Ext: 107
Addresses
Street Address
4002 S. Loop 256 Suite K
Palestine, TX 75801-5003
Billing Address
Mt. Enterprise Community Health Clinic
PO Box 489
Mt. Enterprise, TX 75681
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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