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CH061949AH LONE STAR CIRCLE OF CARE (Terminated)
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Main Details
Name
LONE STAR CIRCLE OF CARE
Subdivision Name
Lone Star Circle of Care at Taylor
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020856
340B ID
CH061949AH
Grant Number
H80CS04289
Additional Details
Current Program Status
Terminated
Registration Date
9/22/2017
Participating Start Date
9/25/2017
Participating Approval Date
9/25/2017
Last Recertification Date
2/10/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Lone Star Circle of Care
Jon Calvin, CEO
(512) 686-0523 Ext: 10451
Primary Contact
Lone Star Circle of Care
Corbin Ferrell, Director of Pharmacy Operations
(512) 686-0155 Ext: 3
Addresses
Street Address
601A Mallard Ln
Taylor, TX 76574-1214
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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