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CH062776E Health Center Of Southeast Texas (Active)
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Main Details
Name
Health Center Of Southeast Texas
Subdivision Name
Health Center of Southeast Texas - Dayton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032862
340B ID
CH062776E
Grant Number
H80CS08770
Additional Details
Current Program Status
Active
Registration Date
5/2/2022
Participating Start Date
7/1/2022
Participating Approval Date
5/13/2022
Last Recertification Date
2/20/2025
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
Addresses
Street Address
2206 N Cleveland St
Dayton, TX 77535-1658
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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