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CH061335K ST. CHARLES COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Ruth U. Fertel/Tulane Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012176
340B ID
CH061335K
Grant Number
H80CS00867
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/22/2013
Last Recertification Date
1/26/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Access Health Louisiana
MARK F. KEISER, CEO
(504) 575-3746
Primary Contact
Access Health Louisiana
Samantha Gould, 340B Program Manager
(504) 575-3743
Addresses
Street Address
711 N Broad St
New Orleans, LA 70119-4206
Billing Address
Access Health Louisiana
843 Milling Avenue
Luling, LA 70070
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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