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FP71201 OUACHITA PHU (Active)
Main Details
Name
OUACHITA PHU
Subdivision Name
LA FP CLINIC
Type
Family Planning (Title X only)
340B ID
FP71201
Grant Number
FPHPA006523
Contacts
Authorizing Official
LDH OPH
Amy Zapata, Bureau of Family Health Director
(504) 568-3504
Primary Contact
LDH/OPH/BRCO
Mariah Jackson, BRCO RH Specialist
(504) 568-2272
Additional Details
Current Program Status
Active
Registration Date
3/2/2007
Participating Start Date
4/1/2007
Participating Approval Date
3/2/2007
Last Recertification Date
5/17/2023
Addresses
Street Address
1650 DESIARD STREET
MONROE, LA 71201
Billing Address
OUACHITA PHU/LOUISIANA DEPARTMENT OF HEALTH
P.O. BOX 629
BATON ROUGE, LA 70821-0629
Comments
Medicaid Billing
Shipping Addresses
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3/1/10 UPDATED ENTITY NAME (WAS OUACHITA PARISH HEALTH UNIT); 3/1/10 ADDED SUBDIV NAME;
03/01/2010
May 2024
May 2024
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