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CH062797C AMISTAD COMMUNITY HEALTH CENTER, INCORPORATED (Active)
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Main Details
Name
AMISTAD COMMUNITY HEALTH CENTER, INCORPORATED
Subdivision Name
Amistad Community Health Center Mobile Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032887
340B ID
CH062797C
Grant Number
H80CS08778
Additional Details
Current Program Status
Active
Registration Date
7/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/10/2023
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Amistad Community Health Center
Eric Baggerman, CEO
(361) 960-9052
Primary Contact
Amistad Community Health Center Inc
Leo Trevino, Staff Accountant
(361) 886-3033
Addresses
Street Address
1533 S Brownlee Blvd
Corpus Christi, TX 78404-3131
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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