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CH06757B CAPITOL CITY FAMILY HEALTH CENTER INC dba CARESOUTH (Active)
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Main Details
Name
CAPITOL CITY FAMILY HEALTH CENTER INC dba CARESOUTH
Subdivision Name
Capitol City Family Health Center @ Donaldsonville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011988
340B ID
CH06757B
Grant Number
H80CS00504
Additional Details
Current Program Status
Active
Registration Date
8/15/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/11/2012
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Capitol City Family Health Center
Matthew Valliere, Chief Executive Officer
(225) 650-2026
Primary Contact
Capitol City Family Health Center
Maimouna Keita, Chief Financial Officer
(225) 650-2024
Addresses
Street Address
904 Catalpa Street
Donaldsonville, LA 70346
Billing Address
CAPITOL CITY FAMILY HEALTH CENTER, INC. - ADMINISTRATIVE OFFICE
PO BOX 66156
BATON ROUGE, LA 70896-3711
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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