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CH0623760 JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC (Active)
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Main Details
Name
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Subdivision Name
Jefferson Community Health Care Centers-Avondale
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012634
340B ID
CH0623760
Grant Number
H80CS06716
Additional Details
Current Program Status
Active
Registration Date
5/31/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/1/2006
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Jefferson Community Health Care Centers
Shondra Williams, CEO
(504) 762-8931
Primary Contact
InclusivCare
Thao Pham, Pharmacy Director
(504) 405-4820
Addresses
Street Address
3932 U.S. Hwy 90
Avondale, LA 70094
Billing Address
Jefferson Community HealthCare inc DBA Inclusivcare
4028 HWY 90 W
Avondale, LA 70094
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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