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CH06338D SWLA Center For Health Services (Active)
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Main Details
Name
SWLA Center For Health Services
Subdivision Name
Temporary Site- SWLA MOBILE UNIT
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031327
340B ID
CH06338D
Grant Number
H80CS00558
Additional Details
Current Program Status
Active
Registration Date
10/12/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/23/2020
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
SWLA Center for Health Services
William Brent III, Chief Executive Officer
(337) 439-9983
Primary Contact
SWLA CENTER FOR HEALTH SERVICES
Jason Ng, CFO
(337) 488-8008
Addresses
Street Address
2000 Opelousas St
Lake Charles, LA 70601-2641
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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