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FQHCLA449 EAST CARROLL PARISH HOSPITAL SERVICE DISTRICT (Active)
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Main Details
Name
EAST CARROLL PARISH HOSPITAL SERVICE DISTRICT
Subdivision Name
Family Medical Clinic
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-036848
340B ID
FQHCLA449
Grant Number
LALCS49539
Additional Details
Current Program Status
Active
Registration Date
8/28/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/6/2023
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
East Carroll Parish Hospital
LaDonna Englerth, Administrator
(318) 559-4023 Ext: 103
Primary Contact
Family Medical Clinic
Jennifer Newton, Clinic Executive Director
(318) 559-4024 Ext: 600
Addresses
Street Address
326 N Hood St
Lake Providence, LA 71254-2140
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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