340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH06757D Capitol City Family Health Center Inc (Active)
Print
Main Details
Name
Capitol City Family Health Center Inc
Subdivision Name
CARESOUTH BEHAVIORAL HEALTH AT ZACHARY, LA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019658
340B ID
CH06757D
Grant Number
H80CS00504
Additional Details
Current Program Status
Active
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/16/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Capitol City Family Health Center
Matthew Valliere, Chief Executive Officer
(225) 650-2026
Primary Contact
Capitol City Family Health Center
Maimouna Keita, Chief Financial Officer
(225) 650-2024
Addresses
Street Address
4852 HWY 19, SUITE A
ZACHARY, LA 70791-0000
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session