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FQHCLA435 LIFE COAST COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
LIFE COAST COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Life Coast Community Health Center Houma
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-036293
340B ID
FQHCLA435
Grant Number
LALCS47057
Additional Details
Current Program Status
Active
Registration Date
9/9/2022
Participating Start Date
10/1/2022
Participating Approval Date
9/14/2022
Last Recertification Date
2/10/2025
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
Addresses
Street Address
605 Enterprise Drive Suite C
Houma, LA 70360-5405
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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