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CH06371K SOUTHEAST COMMUNITY HEALTH SYSTEMS (Terminated)
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Main Details
Name
SOUTHEAST COMMUNITY HEALTH SYSTEMS
Subdivision Name
Southeast Community Health Systems - Women's Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032783
340B ID
CH06371K
Grant Number
H80CS00370
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2017
Participating Start Date
7/1/2017
Participating Approval Date
6/8/2017
Last Recertification Date
2/6/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Southeast Community Health Systems
Alecia Cyprian, Chief Executive Officer
(225) 306-2010
Primary Contact
Southeast Community Health Systems
Toya Hardy, 340B Program Coordinator
(225) 306-2039
Addresses
Street Address
8913 Bluebonnet Blvd
Baton Rouge, LA 70810
Billing Address
Southeast Community Health Systems
P. O. Box 770
Zachary, LA 70791
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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