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CHC28363-07 SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED (Terminated)
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Main Details
Name
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Subdivision Name
Suite 3000, Med Plaza III
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022287
340B ID
CHC28363-07
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
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Special Health Resources for Texas,INC.
David Wayne Hayes, CEO
(903) 212-7807
Primary Contact
Special Health Resources for Texas, Inc
Dionne Kittrell, Clinical Services Director
(903) 212-7811
Addresses
Street Address
705 E Marshall Ave Ste 3000
Longview, TX 75601-5661
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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