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CH06325AL EL CENTRO DEL BARRIO (Active)
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Main Details
Name
EL CENTRO DEL BARRIO
Subdivision Name
CentroMed SA Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034776
340B ID
CH06325AL
Grant Number
H80CS00758
Additional Details
Current Program Status
Active
Registration Date
7/12/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/25/2022
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
CemrtoMed
Ernesto Gomez, President / CEO
(210) 334-3703
Primary Contact
CentroMed
Don Macaulay, VP / Chief Operating Officer
(210) 334-3705
Addresses
Street Address
123 Stone Oak Loop
San Antonio, TX 78258-3391
Billing Address
CentroMed
3750 Commercial Avenue
San Antonio, TX 78221-3117
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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