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CH06095A REGENCE HEALTH NETWORK, INC. (Active)
Main Details
Name
REGENCE HEALTH NETWORK, INC.
Subdivision Name
Regence Health Network, Inc. RMDA - HRF
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009563
340B ID
CH06095A
Grant Number
H80CS00126
Contacts
Authorizing Official
Regence Health Network
Rick Love, CEO
(806) 293-8561 Ext: 2408
Primary Contact
Regence Health Network, Inc.
Ashley Venhaus, Director of Operations
(806) 293-8561 Ext: 2417
Additional Details
Current Program Status
Active
Registration Date
10/1/2001
Participating Start Date
10/1/2001
Participating Approval Date
3/25/2005
Last Recertification Date
1/31/2024
Addresses
Street Address
125 W Park Ave
Hereford, TX 79045-4201
Billing Address
REGENCE HEALTH NETWORK, INC.
2801 W 8TH ST.
PLAINVIEW, TX 79072
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/22/10 UPDATED PHYS ADD (WAS 110 N 25 MILE AVENUE, SUITE A, HEREFORD, TX), ADDED SHIP AND BILL ADD; 7/12/06 - NAME CHANGE (WAS SOUTH PLAINS HEALTH PROVIDER ORG., INC.)
10/22/2010
May 2024
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