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CH05306AQ Sixteenth Street Community Health Centers, Inc. (Active)
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Main Details
Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
16th St Comm Hlth Cntr-St Anthony School-Elementary-2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-016931
340B ID
CH05306AQ
Grant Number
H80CS00593
Additional Details
Current Program Status
Active
Registration Date
4/3/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/8/2016
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Sixteenth Street Community Health Centers
Liz Claudio, Vice President, Operations
(414) 897-5165
Primary Contact
Sixteenth Street Community Health Centers
Jason A Jenders, Director of Pharmacy
(414) 897-5497
Addresses
Street Address
1669 S 5th St
Milwaukee, WI 53204-3401
Billing Address
Sixteenth Street Community Health Centers, Inc.
1337 S. Cesar E. Chavez Drive
Milwaukee, WI 53204
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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