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CH06325H El Centro Del Barrio (Terminated)
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Main Details
Name
El Centro Del Barrio
Subdivision Name
CentroMed Santa Rosa Clinic/Ryan White Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007936
340B ID
CH06325H
Grant Number
H80CS00758
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2002
Participating Start Date
1/1/2002
Participating Approval Date
11/19/2004
Last Recertification Date
1/29/2024
Termination Date
Termination Reason
4/1/2025
Site closure
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
315 N. SAN SABA
103
SAN ANTONIO, TX 78207-3196
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 2/26/09 - CHANGED SITE PHYSICAL ADDRESS (WAS 333 N. SANTA ROSA)& ADDED SHIP TO ADDRESS.
02/26/2009
May 2025
May 2025
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