340B Drug Pricing Program Database
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CHC11298-42 TRAVIS COUNTY HEALTHCARE DISTRICT (Active)
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Main Details
Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
Manor Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022015
340B ID
CHC11298-42
Grant Number
H80CS11298
Additional Details
Current Program Status
Active
Registration Date
7/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Central Texas Community Health Centers d.b.a. CommUnityCare Health Centers
Nicholas Yagoda, Imterim CEO
(512) 978-9527
Primary Contact
CommUnityCare Health Centers
Joey Valentino, Pharmacy 340B Program Manager
(512) 978-9083
Addresses
Street Address
14008 Shadowglen Blvd STE 302
Manor, TX 78653-3406
Billing Address
Central Texas Community Health Centers d.b.a. CommUnityCare
2115 Kramer Ln
Ste 100
Austin, TX 78758
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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