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FQHCLA379B Baptist Community Health Services, Inc. (Terminated)
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Main Details
Name
Baptist Community Health Services, Inc.
Subdivision Name
Baptist Community Health Services-Lower Ninth
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021370
340B ID
FQHCLA379B
Grant Number
LALCS31529
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/25/2018
Last Recertification Date
2/4/2020
Termination Date
Termination Reason
7/1/2020
Loss of qualifying grant/support
Contacts
Authorizing Official
Baptist Community Health Services
Shawn Powers, CEO
(682) 249-4128
Primary Contact
Baptist Community Health Services
Nancy Tardy, Quality Initiatives Coordinator
(504) 595-0317
Addresses
Street Address
4209 St. Claude Avenue
New Orleans, LA 70117-5338
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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