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CH09359C UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC. (Terminated)
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Main Details
Name
UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.
Subdivision Name
ALTAR VALLEY HLTH & WELLNESS CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006844
340B ID
CH09359C
Grant Number
H80CS00416
Additional Details
Current Program Status
Terminated
Registration Date
8/25/2006
Participating Start Date
10/1/2006
Participating Approval Date
8/29/2006
Last Recertification Date
2/24/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
CH093590
Thomas P. Woodworth, CFO
(520) 407-5602
Primary Contact
CH093590
Thomas P. Woodworth, CFO
(520) 407-5602
Addresses
Street Address
9875 S. SASABE ROAD
TUCSON, AZ 85736
Billing Address
UNITED COMMUNITY HEALTH CENTER - MARIA AUXILIADORA, INC.
1260 S. CAMPBELL ROAD
BLDG 2
GREEN VALLEY, AZ 85614
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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