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CHC28961-11 SHAWNEE CHRISTIAN HEALTHCARE CENTER INC (Active)
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Main Details
Name
SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
Subdivision Name
The Wellness Center @ Wheatley Elementary
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029699
340B ID
CHC28961-11
Grant Number
H80CS28961
Additional Details
Current Program Status
Active
Registration Date
4/5/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/10/2023
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Shawnee Christian Healthcare Center
Kirstie Matzek, CEO
(502) 778-0001
Primary Contact
Shawnee Christian Healthcare Center
Stephanie Burke, Pharmacist
(502) 778-0001
Addresses
Street Address
1107 S 17th St
Louisville, KY 40210-2432
Billing Address
Shawnee Christian Healthcare Center
234 Amy Avenue
Louisville, KY 40212
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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