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CH06018R TECHE ACTION BOARD (Terminated)
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Main Details
Name
TECHE ACTION BOARD
Subdivision Name
Teche Action Clinic @Acadian Elementary School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035721
340B ID
CH06018R
Grant Number
H80CS00767
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
Last Recertification Date
2/9/2024
Termination Date
Termination Reason
1/1/2025
Site closure
Contacts
Authorizing Official
Teche Action Board, Inc
Nikina Vilcan, CFO
(337) 828-2550 Ext: 2146
Primary Contact
Teche Action Clinic
Paul Hoang, Pharmacist
(337) 828-2550 Ext: 2150
Addresses
Street Address
1020 Saadi St
Houma, LA 70363-6748
Billing Address
Teche Action Clinic
1115 Weber Street
Franklin, LA 70538
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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