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CH06757C 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- Plaquemine (Iberville Parish)
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013699
340B ID
CH06757C
Grant Number
H80CS00504
Additional Details
Current Program Status
Active
Registration Date
10/13/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/23/2014
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
59340 River West Drive
Plaquemine, LA 70764
Billing Address
CAPITOL CITY FAMILY HEALTH CENTER-ADMINISTRATIVE OFFICE
P O BOX 66156
BATON ROUGE, LA 70896-6156
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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