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CH06173L Gulf Coast Health Center, Inc. (Active)
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Main Details
Name
Gulf Coast Health Center, Inc.
Subdivision Name
Gulf Coast Health Center Inc. Mobile Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031620
340B ID
CH06173L
Grant Number
H80CS00408
Additional Details
Current Program Status
Active
Registration Date
2/11/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/12/2019
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Gulf Coast Health Center, Inc.
Marsha E. Thigpen, Executive Director
(409) 983-1161 Ext: 880
Primary Contact
Gulf Coast Health Center, Inc.
Keren Arledge, Executive Administrative Assistant
(409) 983-1161 Ext: 880
Addresses
Street Address
561 State Street
Jasper, TX 75951
Billing Address
GULF COAST HEALTH CENTER PORT ARTHUR
2548 Memorial Blvd
PORT ARTHUR, TX 77640
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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