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DELL SETON MEDICAL CENTER AT THE UNIVERS
CHC11298-02 TRAVIS COUNTY HEALTHCARE DISTRICT
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Covered Entity Details
Entity Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare Del Valle
Type
HRSA-Funded Health Center
340B ID
CHC11298-02
Entity Address
3518 FM 973
DEL VALLE, TX 78617-3627
Grant Number
H80CS11298
Participating Start Date
12/1/1992
Last Recertification Date
2/26/2016
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
DELL SETON MEDICAL CENTER AT THE UNIVERS
Pharmacy Address
1500 RED RIVER ST
AUSTIN, TX 78701-1918
Pharmacy Comments
Contract Details
Approval Date
5/2/2006
Contract Begin Date
5/2/2006
Carve-In Effective Date
Contract Comments
6/25/09 ADMIN CORRECTION 340B ID # CHANGED (WAS CH061070B)
Contract Termination Date
Termination Reason
7/1/2016
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/24/2006
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