340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH06301Q LA CLINICA DE FAMILIA, INC (Terminated)
Print
Main Details
Name
LA CLINICA DE FAMILIA, INC
Subdivision Name
SUNLAND PARK DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003443
340B ID
CH06301Q
Grant Number
H80CS00316
Additional Details
Current Program Status
Terminated
Registration Date
3/4/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/5/2009
Last Recertification Date
2/26/2018
Termination Date
Termination Reason
4/1/2018
Other
Contacts
Authorizing Official
La Clinica de Familia, Inc.
Virgil Medina, CEO
(575) 526-1105
Primary Contact
La Clinica de Familia, Inc.
Olivia Martinez, Accounting Manager
(575) 526-1105
Addresses
Street Address
2625 MCNUTT RD
SUNLAND PARK, NM 88063
Billing Address
LA CLINICA DE FAMILIA, INC
385 Calle De Alegra
Bldg. A
LAS CRUCES, NM 88005
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
3/7/12-Changed Authorizing Official (was HARRIET BRANDSTETTER)
03/07/2012
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session