340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHCLA435A LIFE COAST COMMUNITY HEALTH CENTER, INC. (Active)
Print
Main Details
Name
LIFE COAST COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Life Coast Community Health Center Thibodaux
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-035534
340B ID
FQHCLA435A
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
1101 Audubon Ave Ste S1
Thibodaux, LA 70301-4957
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session