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CH063380D SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER INC (Active)
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Main Details
Name
SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER INC
Subdivision Name
Southwest Louisiana Primary Health Care Center Mobile Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013455
340B ID
CH063380D
Grant Number
H80CS00579
Additional Details
Current Program Status
Active
Registration Date
10/16/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/16/2017
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Southwest La. Primary Health Care Center, Inc.
Dodie LaMott, CEO
(337) 942-2005
Primary Contact
Southwest La. Primary Health Care Center, inc.
Melissa Stears, CFO
(337) 942-3390
Addresses
Street Address
8762 HIGHWAY 182
OPELOUSAS, LA 70570-5603
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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