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CH05306AM Sixteenth Street Community Health Centers, Inc. (Terminated)
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Main Details
Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
Sixteenth Street Community Health Centers-St Anthony School-Elementary-1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-016961
340B ID
CH05306AM
Grant Number
H80CS00593
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/8/2016
Last Recertification Date
2/16/2022
Termination Date
Termination Reason
4/1/2023
Site closure
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
1747 S 9th St
Milwaukee, WI 53204-3519
Billing Address
Sixteenth Street Community Health Centers
1337 S. Cesar E. Chavez Dr
Milwaukee, WI 53204-2712
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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