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CH060750 NUESTRA CLINICA DEL VALLE (Active)
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Main Details
Name
NUESTRA CLINICA DEL VALLE
Subdivision Name
NUESTRA CLINICA DEL VALLE, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013875
340B ID
CH060750
Grant Number
H80CS00209
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
9/23/2004
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Nuestra Clinica del Valle, Inc.
Lucy Torres, Chief Executive Officer
(956) 787-8915 Ext: 1231
Primary Contact
Nuestra Clinica del Valle, Inc.
Anna Gonzalez, Pharmacy Director
(956) 787-8915 Ext: 1494
Addresses
Street Address
806 West 3rd Street
San Juan, TX 78589-2276
Billing Address
Nuestra Clinica Del Valle
P.O. Box 1689
Pharr, TX 78577
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/10/12 - Changed mail address from 801 WEST 1ST STREET and added bill to address. NEW CONTACT INFO, NEW MEDICAID #, 12/6/105 - ADDR CHANGE (WAS 1203 E. FERGUSON, PHARR, TX 78577)
02/10/2012
NEW CONTACT INFO, NEW MEDICAID #, 12/6/105 - ADDR CHANGE (WAS 1203 E. FERGUSON, PHARR, TX 78577)
12/06/2005
April 2025
April 2025
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