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CH0925360 JWCH INSTITUTE, INC. (Active)
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Main Details
Name
JWCH INSTITUTE, INC.
Subdivision Name
JWCH Institute Corporate Headquarters
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013465
340B ID
CH0925360
Grant Number
H80CS06673
Additional Details
Current Program Status
Active
Registration Date
8/23/2006
Participating Start Date
9/16/2005
Participating Approval Date
8/24/2006
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
JWCH Institute
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Primary Contact
JWCH INSTITUTE, INC
Andy Irie, Chief Administrative Officer
(323) 201-4516 Ext: 3011
Addresses
Street Address
5650 JILLSON ST
COMMERCE, CA 90040-1482
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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