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CH06374N NORTH CENTRAL TEXAS COMMUNITY HEALTH CAR (Active)
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Main Details
Name
NORTH CENTRAL TEXAS COMMUNITY HEALTH CAR
Subdivision Name
Pediatric Associates 10th Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036747
340B ID
CH06374N
Grant Number
H80CS00553
Additional Details
Current Program Status
Active
Registration Date
10/13/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
North Central Texas Community Health Care Center, Inc.
Allen Patterson, CEO
(940) 397-2602
Primary Contact
North Central Texas Community Health Care Center
Kristi McGill, Director of Pharmacy
(940) 397-2673
Addresses
Street Address
1718 10th St
Wichita Falls, TX 76301-5053
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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