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CH092536AF JWCH Institute, Inc. (Active)
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Main Details
Name
JWCH Institute, Inc.
Subdivision Name
Wesley Health Centers -- Lynwood High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021721
340B ID
CH092536AF
Grant Number
H80CS06673
Additional Details
Current Program Status
Active
Registration Date
4/9/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/10/2018
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
JWCH Institute
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Primary Contact
JWCH INSTITUTE, INC
Andy Irie, Chief Administrative Officer
(323) 201-4516 Ext: 3011
Addresses
Street Address
12124 Bullis Rd
Ste B104
Lynwood, CA 90262-5106
Billing Address
JWCH Institute, Inc.
5650 Jillson Street
Commerce, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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