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CH04023H AGAPE COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
AGAPE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
AGAPE/ West Jacksonville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017699
340B ID
CH04023H
Grant Number
H80CS29456
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
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
120 King Street
Jacksonville, FL 32204
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
April 2025
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