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FQHC638290 PASCUA YAQUI HEALTH SERVICES DIVISION (Active)
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Main Details
Name
PASCUA YAQUI HEALTH SERVICES DIVISION
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638290
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
1/27/2005
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
Pascua Yaqui Tribe
JULIAN HERNANDEZ, Tribal Council Chairman
(520) 879-5110
Primary Contact
Pascua Yaqui Tribe
Serena Felix, Pharmacy Director
(520) 879-6373
Addresses
Street Address
7490 S CAMINO DE OESTE
TUCSON, AZ 85746-9308
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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5/25/06 - NEW NAME (WAS PASCUA YAQUI BEHAVIORAL HEALTH), ADDRESS CHANGE (WAS 7490 SOUTH CAMINO DE OESTE), ALTERNATE CONTACT IS ROSA M. RIVERA AT 520-879-6163
06/01/2006
June 2025
June 2025
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