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CH06338G SWLA CENTER FOR HEALTH SERVICES (Active)
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Main Details
Name
SWLA CENTER FOR HEALTH SERVICES
Subdivision Name
SWLA Center for Health Services--DeBakey Drive Temporary Location
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034447
340B ID
CH06338G
Grant Number
H80CS00558
Additional Details
Current Program Status
Active
Registration Date
3/10/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/12/2025
Last Recertification Date
Contacts
Authorizing Official
SWLA CENTER FOR HEALTH SERVICES
Jason Ng, CFO
(337) 488-8008
Primary Contact
SWLA Center for Health Services
Pamela Duplechain-Cellum, Pharmacist
(337) 439-9983
Addresses
Street Address
501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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