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CHC26190-05 TYLER FAMILY CIRCLE OF CARE (Active)
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Main Details
Name
TYLER FAMILY CIRCLE OF CARE
Subdivision Name
FAMILY Circle of Care Athens Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018994
340B ID
CHC26190-05
Grant Number
H80CS26190
Additional Details
Current Program Status
Active
Registration Date
7/14/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/19/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Tyler Family Circle of Care
Kristen S Harris, CEO
(903) 606-6637
Primary Contact
Family Circle of Care
Jana K Holladay, Clinical Pharmacist/340B Coordinator
(903) 714-0074
Addresses
Street Address
1001 N. Palestine St
Athens, TX 75751-2662
Billing Address
Tyler FAMILY Circle of Care
523 S Fannin Ave
Tyler, TX 75702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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