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CH062376A JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC (Terminated)
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Main Details
Name
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Subdivision Name
JCHCC River Ridge Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008237
340B ID
CH062376A
Grant Number
H80CS06716
Additional Details
Current Program Status
Terminated
Registration Date
5/20/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/8/2009
Last Recertification Date
2/20/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Jefferson Community Health Care Centers
Shondra Williams, CEO
(504) 762-8931
Primary Contact
Jefferson Community Health Care Centers, Inc.
Wanda Rose, CFO
(504) 206-7738
Addresses
Street Address
11312 Jefferson Hwy
River Ridge, LA 70123-1709
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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