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CH063380 SWLA CENTER FOR HEALTH SERVICES (Active)
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Main Details
Name
SWLA CENTER FOR HEALTH SERVICES
Subdivision Name
SOUTHWEST LOUISIANA CENTER FOR HEALTH SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003178
340B ID
CH063380
Grant Number
H80CS00558
Additional Details
Current Program Status
Active
Registration Date
10/1/2002
Participating Start Date
10/1/2002
Participating Approval Date
11/19/2004
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
SWLA CENTER FOR HEALTH SERVICES
Jason Ng, CFO
(337) 488-8008
Primary Contact
SWLA Center for Health Services
Pamela Duplechain-Cellum, Pharmacist
(337) 439-9983
Addresses
Street Address
2000 Opelousas St
Lake Charles, LA 70601-2641
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/19/04 UPDATED ENTITY NAME;
01/14/2010
May 2025
May 2025
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