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CH06024C FIRST CHOICE COMMUNITY HEALTHCARE, INC. (Active)
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Main Details
Name
FIRST CHOICE COMMUNITY HEALTHCARE, INC.
Subdivision Name
MOUNTAIN AND VALLEY REGIONAL HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018336
340B ID
CH06024C
Grant Number
H80CS00202
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
8/29/2003
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
First Choice Community Healthcare
Shawna R Gonzales, CFO
(505) 873-7414
Primary Contact
First Choice Community Healthcare
Dane Tortalita, Financial Analyst
(505) 873-7400 Ext: 9053
Addresses
Street Address
7 MUNICIPAL WAY
EDGEWOOD, NM 87015
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/10/12 - Changed contact information from John Denslow, R.Ph, added INC to entity name.
04/10/2012
April 2025
April 2025
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