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HV061230 CENTRO DE SALUD FAMILIAR LA FE, INC. (Active)
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Main Details
Name
CENTRO DE SALUD FAMILIAR LA FE, INC.
Subdivision Name
LA FE CARE CENTER
Type
Ryan White Part C
340B ID
HV061230
Grant Number
H76HA00122
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
5/3/2005
Last Recertification Date
2/14/2025
Time Period the Assistance was Received
1/1/2025 - 12/31/2025
Contacts
Authorizing Official
Centro de Salud Familiar La Fe, Inc.
Salvador Balcorta, CEO
(915) 534-7979
Primary Contact
Centro De Salud Familiar La Fe, Inc.
Babette Pedregon, Pharmacist-In-Charge
(915) 545-7080
Addresses
Street Address
1505 MESCALERO DR.
EL PASO, TX 79925
Billing Address
CENTRO DE SALUD FAMILIAR LA FE, INC.
1314 E. YANDELL
EL PASO, TX 79902
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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5/3/05 - REMOVED MEDICAID #
05/03/2005
April 2025
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