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STD532021 KEENAN CENTRAL HEALTH CLINIC (Active)
Main Details
Name
KEENAN CENTRAL HEALTH CLINIC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD532021
Grant Number
NH25PS005148
Nature of Support
Direct Funding (dollars received from CDC or an intermediate organization)
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
Time period section 318 funding or in-kind support was received
1/1/2021
Contacts
Authorizing Official
City of Milwaukee Health Department
Mike Totoraitis, Commissioner of Health
(414) 286-3521
Primary Contact
City of Milwaukee Health Department
Jefflyn Brown, Deputy Commissioner of Clinical Services
(414) 897-3872
Additional Details
Current Program Status
Active
Registration Date
10/1/2002
Participating Start Date
10/1/2002
Participating Approval Date
11/18/2004
Last Recertification Date
5/14/2024
Notice of Funding Opportunity (NOFO) Number
PS19-1901
Addresses
Street Address
3200 NORTH 36TH STREET
2ND FLOOR
MILWAUKEE, WI 53216
Billing Address
City of Milwaukee Health Department
841 N. Broadway 3rd Floor
Milwaukee, WI 53202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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last recertification date is 06/24/2020
06/24/2020
3/17/11 ADDED, SUBDIV, SHIP TO AND MEDICAID #; 8/23/06 ADDR CHANGE (WAS 841 NORTH BROADWAY AND ZIP 53202) AND NAME CHANGED (WAS MILWAUKEE CITY HEALTH DEPT)
03/17/2011
May 2024
May 2024
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