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CHC11298-35 TRAVIS COUNTY HEALTHCARE DISTRICT (Terminated)
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Main Details
Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
TEMPORARY SITE-Austin Wilhemina Delco Center Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021076
340B ID
CHC11298-35
Grant Number
H80CS11298
Additional Details
Current Program Status
Terminated
Registration Date
9/25/2017
Participating Start Date
9/8/2017
Participating Approval Date
9/26/2017
Last Recertification Date
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Central Texas Community Health Centers
Jaeson Fournier, CEO
(512) 978-9050 Ext: 5125954337
Primary Contact
CommUnityCare Health Centers
Joey Valentino, Pharmacy 340B Program Manager
(512) 978-9083
Addresses
Street Address
4601 Pecan Brook Dr.
Austin, TX 78724
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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