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UI020 GERALD L IGNACE INDIAN HEALTH CENTER, INC. (Active)
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Main Details
Name
GERALD L IGNACE INDIAN HEALTH CENTER, INC.
Subdivision Name
Type
Urban Indian
340B ID
UI020
Additional Details
Current Program Status
Active
Registration Date
5/26/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/26/2006
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Gerald L Ignace Indian Health Center
Lyle Ignace, Executive Director
(414) 383-9526 Ext: 5000
Primary Contact
Gerald L. Ignace Indian Health Center
Georgette Lucey-Durrani, Pharmacist
(414) 316-5115
Addresses
Street Address
930 West Historic Mitchell Street
MILWAUKEE, WI 53204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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