340B Drug Pricing Program Database

Name

CAPITOL CITY FAMILY HEALTH CENTER, INC.

Subdivision Name

ADMINISTRATIVE OFFICE

Type

Ryan White Part C

340B ID

HV067570

Grant Number

H76HA00817

Current Program Status

Terminated

Registration Date

10/1/2004

Participating Start Date

10/1/2004

Participating Approval Date

9/2/2004

Last Recertification Date

3/10/2016

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2016
Failure to recertify

Authorizing Official

Yakima Black, Chief Executive Officer
(225) 650-2026

Primary Contact

LYNDON DARENSBOURG, Chief Financial Officer
(225) 650-2024

Street Address

3140 FLORIDA STREET
BATON ROUGE, LA 70806

Billing Address

CAPITOL CITY FAMILY HEALTH CENTER, INC.
PO BOX 66156
BATON ROUGE, LA 70896-6156