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CH092536BA JWCH Institute, Inc. (Active)
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Main Details
Name
JWCH Institute, Inc.
Subdivision Name
Wesley Health Centers - Health and Wellness Center 2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036549
340B ID
CH092536BA
Grant Number
H80CS06673
Additional Details
Current Program Status
Active
Registration Date
10/2/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/10/2023
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
JWCH Institute
ALVARO BALLESTEROS, EXECUTIVE DIRECTOR
(323) 201-4516 Ext: 3009
Primary Contact
JWCH INSTITUTE, INC
Andy Irie, Chief Administrative Officer
(323) 201-4516 Ext: 3011
Addresses
Street Address
45124 10th St W
Lancaster, CA 93534
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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