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CH092536AG JWCH Institute, Inc. (Terminated)
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Main Details
Name
JWCH Institute, Inc.
Subdivision Name
Wesley Health Centers -- Fedde International Studies Academy
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021720
340B ID
CH092536AG
Grant Number
H80CS06673
Additional Details
Current Program Status
Terminated
Registration Date
4/9/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/10/2018
Last Recertification Date
2/17/2022
Termination Date
Termination Reason
4/1/2023
Site closure
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
21409 Elaine Ave
Hawaiian Gardens, CA 90716-1025
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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April 2025
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