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CH067570 CAPITOL CITY FAMILY HEALTH CENTER INC dba CARESOUTH (Active)
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Main Details
Name
CAPITOL CITY FAMILY HEALTH CENTER INC dba CARESOUTH
Subdivision Name
CAPITOL CITY FAMILY HEALTH CENTER, INC dba CARESOUTH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000579
340B ID
CH067570
Grant Number
H80CS00504
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/2/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Capitol City Family Health Center
Matthew Valliere, Chief Executive Officer
(225) 650-2026
Primary Contact
Capitol City Family Health Center
Maimouna Keita, Chief Financial Officer
(225) 650-2024
Addresses
Street Address
3140 FLORIDA BLVD
BATON ROUGE, LA 70806
Billing Address
CAPITOL CITY FAMILY HEALTH CENTER, INC - ADMINISTRATIVE OFFICE
PO BOX 66156
BATON ROUGE, LA 70896-6156
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/08/09 UPDATED ADDR (WAS 660 N. FOSTER DRIVE, SUITE A 208)
10/01/2004
April 2025
April 2025
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