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CH06345AL PRESBYTERIAN MEDICAL SERVICES (Active)
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Main Details
Name
PRESBYTERIAN MEDICAL SERVICES
Subdivision Name
DEMING HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010386
340B ID
CH06345AL
Grant Number
H80CS00205
Additional Details
Current Program Status
Active
Registration Date
8/22/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/22/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Presbyterian Medical Services
Stephen M. Quesada, DIRECTOR OF PHARMACY
(505) 443-2634
Primary Contact
Presbyterian Medical Services - Santa Fe, NM
Julie Georgia Lucero, 340B Coordinator
(505) 231-4028
Addresses
Street Address
300 S. DIAMOND AVENUE
DEMING, NM 88030-3752
Billing Address
PRESBYTERIAN MEDICAL SERVICES
1422 PASEO DE PERALTA
SANTA FE, NM 87501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/22/11 UPDATED PHYS ADD (WAS 205 E HEMLOCK ST); 9/24/2008-UPDATED BILLING ADD. (WAS PO BOX 2267)
04/11/2011
June 2025
June 2025
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