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CH04023G AGAPE COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
AGAPE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
AGAPE/Wesconnett Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019355
340B ID
CH04023G
Grant Number
H80CS29456
Additional Details
Current Program Status
Active
Registration Date
7/12/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/18/2016
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Agape Community Health Center, Inc.
Mia L. Jones, CEO
(904) 760-4910
Primary Contact
Agape Family Health
Candace Guyton, Director of Pharmacy
(904) 544-6089
Addresses
Street Address
5460 Blanding Blvd
Jacksonville, FL 32244
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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