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CH05306BB 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 - Carmen Schools-South Middle School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032681
340B ID
CH05306BB
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
2433 S 15th St Rm 104B
Milwaukee, WI 53215-3132
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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