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CH061335A ST. CHARLES COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
ST. CHARLES COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004076
340B ID
CH061335A
Grant Number
H80CS00867
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
11/23/2004
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Access Health Louisiana
MARK F. KEISER, CEO
(504) 575-3746
Primary Contact
Access Health Louisiana
Shikenya Johnson, 340B Program Coordinator
(504) 575-3743
Addresses
Street Address
843 Milling Ave
Luling, LA 70070-4442
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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The entity's name can not be changed since it is not listed in EHB, contact the BPHC to submit a change in scope. NEW CHC; 11/23/04 - ADDED CONTACT INFO
10/05/2012
NEW CHC; 11/23/04 - ADDED CONTACT INFO
11/23/2004
NEW CHC; 11/23/04 - ADDED CONTACT INFO
11/23/2004
April 2025
April 2025
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