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CH06325C 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-H80-008429
340B ID
CH06325C
Grant Number
H80CS00758
Additional Details
Current Program Status
Active
Registration Date
4/1/1995
Participating Start Date
4/1/1995
Participating Approval Date
11/19/2004
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
1034 W County Line Rd
New Braunfels, TX 78130-8338
Billing Address
El Centro del Barrio dba CentroMed
3750 Commercial Ave
San Antonio, TX 78221
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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UPDATED CONTACT INFO; 11/19/04 - MODIFIED ENTITY NAME
11/19/2004
May 2025
May 2025
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