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RWI708062A Capitol City Family Health Center (Active)
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Main Details
Name
Capitol City Family Health Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI708062A
Grant Number
H89HA11432
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/23/2024
Last Recertification Date
3/9/2025
Time Period the Assistance was Received
3/1/2025 - 2/28/2026
Contacts
Authorizing Official
City of Baton Rouge
Danette Brown, Assistant Director
(225) 571-5400
Primary Contact
Capitol City Family Health Center
Matthew Valliere, Chief Executive Officer
(225) 650-2026
Addresses
Street Address
3140 Florida Blvd
Baton Rouge, LA 70806
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participated starting- 7/1/2017 Terminated starting- 4/1/2024 Reinstated- 7/1/2024
05/23/2024
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