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CH092536AM JWCH Institute, Inc. (Active)
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Main Details
Name
JWCH Institute, Inc.
Subdivision Name
Wesley Health Centers- Health and Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027677
340B ID
CH092536AM
Grant Number
H80CS06673
Additional Details
Current Program Status
Active
Registration Date
5/1/2019
Participating Start Date
5/2/2019
Participating Approval Date
5/2/2019
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
45104 10th St W
Lancaster, CA 93534-2310
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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