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CH06371E SOUTHEAST COMMUNITY HEALTH SYSTEMS (Active)
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Main Details
Name
SOUTHEAST COMMUNITY HEALTH SYSTEMS
Subdivision Name
Southeast Community Health Systems- Kentwood Location
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000475
340B ID
CH06371E
Grant Number
H80CS00370
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
4/9/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Southeast Community Health Systems
Alecia Cyprian, Chief Executive Officer
(225) 306-2010
Primary Contact
Southeast Community Health Systems
Toya Hardy, 340B Program Coordinator
(225) 306-2039
Addresses
Street Address
721 Avenue G
Kentwood, LA 70444-2601
Billing Address
Southeast Community Health Systems
P. O. Box 770
Zachary, LA 70791
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/10/10 UPDATED SUB-DIV NAME (WAS KENTWOOD MEDICAL CLINIC)
11/10/2010
April 2025
April 2025
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