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CH053060 Sixteenth Street Community Health Centers, Inc. (Active)
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Main Details
Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
Sixteenth Street Community Health Centers-Chavez
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001579
340B ID
CH053060
Grant Number
H80CS00593
Additional Details
Current Program Status
Active
Registration Date
10/1/1996
Participating Start Date
10/1/1996
Participating Approval Date
6/19/2009
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Sixteenth Street Community Health Centers
Liz Claudio, Vice President, Operations
(414) 897-5165
Primary Contact
Sixteenth Street Community Health Centers
Jason A Jenders, Director of Pharmacy
(414) 897-5497
Addresses
Street Address
1032 S Cesar E Chavez Dr
MILWAUKEE, WI 53204
Billing Address
Sixteenth Street Community Health Centers, Inc.
1337 S. CESAR E. CHAVEZ DRIVE
MILWAUKEE, WI 53204
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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