Details | Last Recertification Date | Update | Recertification | 1/29/2024 9:06:04 AM | 2/10/2025 8:05:50 AM | 2/10/2025 8:05 AM |
Details | Last Recertification Date | Update | Recertification | 2/2/2023 10:39:10 AM | 1/29/2024 9:06:04 AM | 1/29/2024 9:06 AM |
Contacts | Primary Contact | Update | Recertification | Cordero, Gaby
CFO
Project Vida Health Center
9155337057-209 | Rocha, Rene
Chief Financial Officer
Project Vida Health Center
9154651191-209 | 2/2/2023 10:39 AM |
Details | Last Recertification Date | Update | Recertification | 2/2/2022 12:13:31 PM | 2/2/2023 10:39:10 AM | 2/2/2023 10:39 AM |
Contacts | Authorizing Official | Update | Profile Change Request | Schlesinger, Bill
CEO
Project Vida Health Center
9155337057-207 | Schlesinger, Bill
CEO
Project Vida Health Center
9154651191-207 | 5/9/2022 10:51 AM |
Contacts | Signed By | Update | Profile Change Request | Schlesinger, Bill
CEO
Project Vida Health Center
9155337057-207 | Schlesinger, Bill
CEO
Project Vida Health Center
9154651191-207 | 5/9/2022 10:51 AM |
Details | Last Recertification Date | Update | Recertification | 2/6/2021 1:20:00 PM | 2/2/2022 12:13:31 PM | 2/2/2022 12:13 PM |
Details | Last Recertification Date | Update | Recertification | 1/28/2020 12:23:30 PM | 2/6/2021 1:20:00 PM | 2/6/2021 1:20 PM |
Contacts | Primary Contact | Update | Profile Change Request | Cordero, Gaby g.cordero@pvida.net
CFO
Project Vida Health Center
9155337057-209 | Cordero, Gaby
CFO
Project Vida Health Center
9155337057-209 | 6/4/2020 2:27 PM |
Contacts | Primary Contact | Update | | Cordero, Gaby
CFO
Project Vida Health Center
9155337057-209 | Cordero, Gaby g.cordero@pvida.net
CFO
Project Vida Health Center
9155337057-209 | 2/18/2020 1:47 PM |
Details | Last Recertification Date | Update | Recertification | 1/29/2019 11:22:13 AM | 1/28/2020 12:23:30 PM | 1/28/2020 12:23 PM |
Details | Last Recertification Date | Update | Recertification | 2/8/2018 11:06:07 AM | 1/29/2019 11:22:13 AM | 1/29/2019 11:22 AM |
Details | Last Recertification Date | Update | Recertification | | 2/8/2018 11:06:07 AM | 2/8/2018 11:06 AM |
Details | Is Authorizing Official EHB Data | Update | Recertification | False | | 2/8/2018 11:06 AM |
Contacts | Primary Contact | Update | Recertification | Cordero, Gaby
CFO
9155337057-209 | Cordero, Gaby
CFO
Project Vida Health Center
9155337057-209 | 2/8/2018 11:06 AM |
Contacts | Authorizing Official | Update | | Schlesinger, Bill
CEO
9155337057-207 | Schlesinger, Bill
CEO
Project Vida Health Center
9155337057-207 | 10/3/2017 3:09 PM |
Contacts | Signed By | Update | | Schlesinger, Bill
CEO
9155337057-207 | Schlesinger, Bill
CEO
Project Vida Health Center
9155337057-207 | 10/3/2017 3:09 PM |
Contacts | Authorizing Official | Insert | | | Schlesinger, Bill
CEO
9155337057-207 | 4/26/2017 10:14 AM |
Contacts | Signed By | Insert | | | Schlesinger, Bill
CEO
9155337057-207 | 4/26/2017 10:14 AM |
Addresses | Main Address | Insert | | |
3607 RIVERA AVE
EL PASO, TX 79905-2415 | 3/16/2017 11:10 AM |
Contacts | Primary Contact | Insert | | | Cordero, Gaby
CFO
9155337057-209 | 3/16/2017 11:10 AM |
Dates | Participating Approval Date | Update | | | 2/28/2017 12:00:00 AM | 2/28/2017 4:14 PM |
Details | State | Update | | Pending | Active | 2/28/2017 4:14 PM |
Dates | Start Date | Update | | | 4/1/2017 12:00:00 AM | 2/28/2017 4:14 PM |
Details | 340B ID | Update | | ONLINE_REG_75194 | CH06796T | 1/25/2017 8:10 AM |
Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_75194 | 1/17/2017 11:00 AM |
Details | Last Recertification Date | Insert | | | | 1/17/2017 11:00 AM |
Details | Grant Number | Insert | | | H80CS04287 | 1/17/2017 11:00 AM |
Details | 340B ID | Insert | | | ONLINE_REG | 1/17/2017 11:00 AM |
Details | Is Authorizing Official EHB Data | Insert | | | False | 1/17/2017 11:00 AM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 1/17/2017 11:00 AM |
Details | Medicare Provider Number | Insert | | | | 1/17/2017 11:00 AM |
Details | Entity Name | Insert | | | PROJECT VIDA HEALTH CENTER | 1/17/2017 11:00 AM |
Details | Program Code | Insert | | | CH | 1/17/2017 11:00 AM |
Details | Entity Subname | Insert | | | Mobile Medical Vann | 1/17/2017 11:00 AM |
Dates | Participating Approval Date | Insert | | | | 1/17/2017 11:00 AM |
Details | State | Insert | | | Pending | 1/17/2017 11:00 AM |
Dates | Registration Date | Insert | | | 1/17/2017 12:00:00 AM | 1/17/2017 11:00 AM |
Dates | Signed By Date | Insert | | | 1/17/2017 12:00:00 AM | 1/17/2017 11:00 AM |
Dates | Start Date | Insert | | | | 1/17/2017 11:00 AM |
Terminations | Termination Comments | Insert | | | | 1/17/2017 11:00 AM |
Terminations | Termination Date | Insert | | | | 1/17/2017 11:00 AM |
Terminations | Termination Effective Date | Insert | | | | 1/17/2017 11:00 AM |
Terminations | Termination Reason | Insert | | | | 1/17/2017 11:00 AM |