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CH061335AB ST. CHARLES COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Access Health Louisiana Primary Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018565
340B ID
CH061335AB
Grant Number
H80CS00867
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/4/2017
Last Recertification Date
2/27/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Access Health Louisiana
MARK F. KEISER, CEO
(504) 575-3746
Primary Contact
Access Health Louisiana
Samantha Gould, 340B Program Manager
(504) 575-3743
Addresses
Street Address
1415 Tulane Avenue, 5th Floor Ste 5501
New Orleans, LA 70112
Billing Address
Access Health Louisiana
843 Milling Avenue
Luling, LA 70070
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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