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CHC08229-09 First Nations Community Health Source Inc (Approved)
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Main Details
Name
First Nations Community Health Source Inc
Subdivision Name
FNCH Integrated Care Mobile Medical Van
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038517
340B ID
CHC08229-09
Grant Number
H80CS08229
Additional Details
Current Program Status
Approved
Registration Date
4/1/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/2/2025
Last Recertification Date
Contacts
Authorizing Official
First Nations Community HealthSource
Linda Son-Stone, CEO
(505) 262-6546
Primary Contact
First Nations Community HealthSource
Earla Begay, Interim CFO
(505) 262-2481
Addresses
Street Address
5608 Zuni Rd SE
Albuquerque, NM 87108-2926
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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