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CH062776D Health Center Of Southeast Texas (Active)
Main Details
Name
Health Center Of Southeast Texas
Subdivision Name
Health Center of Southeast Texas - Terrenos
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034349
340B ID
CH062776D
Grant Number
H80CS08770
Contacts
Authorizing Official
Health Center of Southeast Texas
Steven Racciato, CEO
(281) 592-2224 Ext: 218
Primary Contact
Health Center of Southeast Texas
Andee Kesner, Pharmacy Director
(281) 592-2224 Ext: 257
Additional Details
Current Program Status
Active
Registration Date
3/31/2022
Participating Start Date
4/4/2022
Participating Approval Date
4/4/2022
Last Recertification Date
2/6/2024
Addresses
Street Address
871 CR 3549
Cleveland, TX 77327
Billing Address
Health Center of Southeast Texas
307 N. William Barnett Ave
CLEVELAND, TX 77327
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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