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CH04023J AGAPE COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
AGAPE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
AGAPE/Magnolia Jacksonville Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017695
340B ID
CH04023J
Grant Number
H80CS29456
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/21/2016
Last Recertification Date
1/29/2019
Termination Date
Termination Reason
1/1/2020
Site closure
Contacts
Authorizing Official
Agape Community Health Center, Inc.
Mia L. Jones, CEO
(904) 760-4910
Primary Contact
Agape Community Health Center, Inc.
Andre Washington, Pharmacy Director
(904) 760-4918
Addresses
Street Address
5300 N Pearl Street
Jacksonville, FL 32208
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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