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CHC12885-06 Houston Area Community Services, Inc. dba Avenue 360 Health & Wellness (Active)
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Main Details
Name
Houston Area Community Services, Inc. dba Avenue 360 Health & Wellness
Subdivision Name
Avenue 360 Health and Wellness - Humble
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037905
340B ID
CHC12885-06
Grant Number
H80CS12885
Additional Details
Current Program Status
Active
Registration Date
1/11/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/22/2019
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Houston Area Community Services
Charlene Antoinette Flash, CEO
(832) 384-1479 Ext: 494
Primary Contact
Houston Area Community Services dba Avenue 360 Health and Wellness
Emmily Simmons, PIC
(713) 426-0027
Addresses
Street Address
18842 S Memorial Dr
206
Humble, TX 77338-4229
Billing Address
Houston Area Community Service dba Avenue 360 Health & Wellness
2150 W. 18th St; Suite 300
Houston, TX 77008
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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