340B Drug Pricing Program Database
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CH061335M ST. CHARLES COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
St Charles CHC - 1057 Paul Maillard
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010278
340B ID
CH061335M
Grant Number
H80CS00867
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/25/2014
Last Recertification Date
2/21/2022
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Access Health Louisiana
MARK F. KEISER, CEO
(504) 575-3746
Primary Contact
Access Health Louisiana
Shikenya Johnson, 340B Program Coordinator
(504) 575-3743
Addresses
Street Address
1057 Paul Maillard Road 240
Luling, LA 70070
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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