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CH061335L ST. CHARLES COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
St. Tammany Community Health Center Covington
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012384
340B ID
CH061335L
Grant Number
H80CS00867
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2013
Participating Start Date
1/1/2014
Participating Approval Date
10/29/2013
Last Recertification Date
2/27/2018
Termination Date
Termination Reason
4/1/2019
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
1301 N. Florida St
Covington, LA 70433-1595
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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