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STD703603 Life Coast Community Health Center (Active)
Main Details
Name
Life Coast Community Health Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD703603
Grant Number
5 NU62PS924522
Nature of Support
In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
Please Describe the “in-kind” Support
Test kits
Time period section 318 funding or in-kind support was received
3/14/2022
Contacts
Authorizing Official
Life Coast Community Health Center
Shannon Boudreaux, CEO
(985) 492-6170
Primary Contact
Life Coast Community Health Center
Breck Stagni Robichaux, CFO
(225) 281-2732
Additional Details
Current Program Status
Active
Registration Date
4/11/2022
Participating Start Date
5/4/2022
Participating Approval Date
4/26/2022
Last Recertification Date
5/6/2024
Notice of Funding Opportunity (NOFO) Number
CDC-RFA-PS18-180205CONT22
Addresses
Street Address
605 Enterprise Drive
STE C
Houma, LA 70360-5405
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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