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CH062376L JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC (Active)
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Main Details
Name
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Subdivision Name
Emmett Gilbert Elementary School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036940
340B ID
CH062376L
Grant Number
H80CS06716
Additional Details
Current Program Status
Active
Registration Date
1/10/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/18/2024
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Jefferson Community Health Care Centers
Shondra Williams, CEO
(504) 762-8931
Primary Contact
InclusivCare
Thao Pham, Pharmacy Director
(504) 405-4820
Addresses
Street Address
435 S Jamie Blvd
Westwego, LA 70094-2860
Billing Address
Jefferson Community HealthCare inc DBA Inclusivcare
4028 HWY 90 W
Avondale, LA 70094
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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