Covered Entity Details

CH09303G ADELANTE HEALTHCARE, INC. (Terminated)

Main Details

Name

ADELANTE HEALTHCARE, INC.

Subdivision Name

Adelante Healthcare Phoenix

Type

HRSA-Funded Health Center

Site ID

BPS-H80-008622

340B ID

CH09303G

Grant Number

H80CS00140

Additional Details

Current Program Status

Terminated

Registration Date

3/4/2008

Participating Start Date

4/1/2008

Participating Approval Date

3/5/2008

Last Recertification Date

2/18/2021

Termination Date
Termination Reason

1/1/2022
Site closure

Contacts

Authorizing Official

Adelante Healthcare
Pedro Cons, CEO
(623) 583-3001 Ext: 011105

Primary Contact

Adelante Healthcare
Amanda C Murray, 340B Program Manager
(623) 583-3001 Ext: 1312

Addresses

Street Address

7725 N 43rd Ave STE 510
Phoenix, AZ 85051-5771

Billing Address

ADELANTE HEALTHCARE
3033 N. Central Ave
PHOENIX, AZ 85012

Comment	Last Updated On
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3/9/12-Changed contact person (was Larry Kadin); 2/28/11 UPDATED BILL ADD (WAS ; 1/8/10 - UPDATED PHYS ADD (WAS 16551 N DYSART RD STE 104A, SURPRISE, AZ 85374); 5310 W. THUDERBIRD AVE, SUITE 310, GLENDALE, AZ) UPDATED ENTITY NAME (WAS CLINICA ADELANTE, INC) UPDATED SUBDIV NAME (WAS GLENDALE FAMILY HEALTH CARE)	03/09/2012
2/28/11 UPDATED BILL ADD (WAS ; 1/8/10 - UPDATED PHYS ADD (WAS 16551 N DYSART RD STE 104A, SURPRISE, AZ 85374); 5310 W. THUDERBIRD AVE, SUITE 310, GLENDALE, AZ) UPDATED ENTITY NAME (WAS CLINICA ADELANTE, INC) UPDATED SUBDIV NAME (WAS GLENDALE FAMILY HEALTH CARE)	02/28/2011

340B Drug Pricing Program Database