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CH06175F GATEWAY COMMUNITY HEALTH CENTER INC (Terminated)
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Main Details
Name
GATEWAY COMMUNITY HEALTH CENTER INC
Subdivision Name
Mobile Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021016
340B ID
CH06175F
Grant Number
H80CS00779
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/6/2019
Last Recertification Date
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Gateway Community Health Center, Inc.
Elmo S. Lopez Jr., CEO
(956) 625-3001
Primary Contact
Gateway Community Health Center, Inc.
Irasema Perez, Director of Pharmacy
(956) 625-3043
Addresses
Street Address
210 North Rathmell Ave.
Zapata, TX 78076
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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