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CH062376C JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC (Active)
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Main Details
Name
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Subdivision Name
Jefferson Community Health Care Centers-RFK Lafitte Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012611
340B ID
CH062376C
Grant Number
H80CS06716
Additional Details
Current Program Status
Active
Registration Date
1/13/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/25/2014
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Jefferson Community Health Care Centers
Shondra Williams, CEO
(504) 762-8931
Primary Contact
InclusivCare
Thao Pham, Pharmacy Director
(504) 405-4820
Addresses
Street Address
5140 Church St
Lafitte, LA 70067-5256
Billing Address
Jefferson Community HealthCare inc DBA Inclusivcare
4028 HWY 90 W
Avondale, LA 70094
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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