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CHC28363-06 SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED (Terminated)
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Main Details
Name
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Subdivision Name
Jacksonville Care Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022295
340B ID
CHC28363-06
Grant Number
H80CS28363
Additional Details
Current Program Status
Terminated
Registration Date
1/10/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/22/2019
Last Recertification Date
2/7/2024
Termination Date
Termination Reason
1/1/2025
Site closure
Contacts
Authorizing Official
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Jessica Roldan, Interim CEO
(903) 212-7395
Primary Contact
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Ashlee Sterling, 340B Coordinator
(903) 238-3248
Addresses
Street Address
1011 College Street
Jacksonville, TX 75766-3307
Billing Address
Special Health Resources for Texas, Inc
PO Box 2709
Longview, TX 75606
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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