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CH04023L AGAPE COMMUNITY HEALTH CENTER South (Active)
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Main Details
Name
AGAPE COMMUNITY HEALTH CENTER South
Subdivision Name
Agape Community Health Center, Inc
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022362
340B ID
CH04023L
Grant Number
H80CS29456
Additional Details
Current Program Status
Active
Registration Date
1/4/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/17/2017
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
3900 University Blvd S
Jacksonville, FL 32216-4395
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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