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CH061335Y ST. CHARLES COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Tangipahoa Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014971
340B ID
CH061335Y
Grant Number
H80CS00867
Additional Details
Current Program Status
Active
Registration Date
10/1/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/23/2015
Last Recertification Date
2/26/2025
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
42351 PHYLLIS ANN DR
HAMMOND, LA 70403-1254
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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