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CH092536AR JWCH Institute, Inc. (Terminated)
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Main Details
Name
JWCH Institute, Inc.
Subdivision Name
JWCH PATH CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000087
340B ID
CH092536AR
Grant Number
H80CS06673
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/21/2020
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
340 N. MADISON
LOS ANGELES, CA 90004-3504
Billing Address
JWCH Institute
5650 Jillson St.
Commerce, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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