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CH05306AW Sixteenth Street Community Health Centers, Inc. (Active)
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Main Details
Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
Sixteenth Street Community Health Centers - Mental Health Support Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030202
340B ID
CH05306AW
Grant Number
H80CS00593
Additional Details
Current Program Status
Active
Registration Date
1/14/2021
Participating Start Date
1/27/2021
Participating Approval Date
1/19/2021
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Sixteenth Street Community Health Centers
Liz Claudio, Vice President, Operations
(414) 897-5165
Primary Contact
Sixteenth Street Community Health Centers
Jason A Jenders, Director of Pharmacy
(414) 897-5497
Addresses
Street Address
1635 W National Ave
Milwaukee, WI 53204-1130
Billing Address
Sixteenth Street Community Health Centers, Inc.
1337 S CESAR E CHAVEZ DRIVE
MILWAUKEE, WI 53204
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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