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CH06173C GULF COAST HEALTH CENTER, INC. (Terminated)
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Main Details
Name
GULF COAST HEALTH CENTER, INC.
Subdivision Name
GULF COAST HEALTH CENTER, INC. - ORANGE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011888
340B ID
CH06173C
Grant Number
H80CS00408
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2002
Participating Start Date
4/1/2002
Participating Approval Date
4/9/2010
Last Recertification Date
2/1/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Gulf Coast Health Center, Inc.
Marsha E. Thigpen, Executive Director
(409) 983-1161 Ext: 880
Primary Contact
Gulf Coast Health Center, Inc.
Marsha E. Thigpen, Executive Director
(409) 983-1161 Ext: 880
Addresses
Street Address
1301 W PARK AVE STE C
ORANGE, TX 77630-4922
Billing Address
GULF COAST HEALTH CENTER, INC.
2548 MEMORIAL BOULEVARD
PORT ARTHUR, TX 77642-2825
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/4/10 ADDED BILL TO ADDR; 5/14/07 UPDATED ADDRESS (WAS CLINIC #3 - ORANGE, 1502 STRICKLAND DR. STE 4)
06/04/2010
May 2025
May 2025
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