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CH05306AY 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 - United Community Center-Bruce-Guadalupe Community School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032684
340B ID
CH05306AY
Grant Number
H80CS00593
Additional Details
Current Program Status
Active
Registration Date
10/8/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/12/2021
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
1028 S 9th St Rm Llhc
Milwaukee, WI 53204-1335
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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