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CH04023N Agape Community Health Center, Inc. (Terminated)
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Main Details
Name
Agape Community Health Center, Inc.
Subdivision Name
Agape/Magnolia East
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030530
340B ID
CH04023N
Grant Number
H80CS29456
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/6/2020
Last Recertification Date
2/20/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Agape Community Health Center, Inc.
Mia L. Jones, CEO
(904) 760-4910
Primary Contact
Agape Family Health
Candace Guyton, Director of Pharmacy
(904) 544-6089
Addresses
Street Address
6024 Merrill Rd
Jacksonville, FL 32277-3427
Billing Address
Agape Community Health Center
120 King Street
Jacksonville, FL 32204
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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