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CH06033Q EL CENTRO FAMILY HEALTH (Active)
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Main Details
Name
EL CENTRO FAMILY HEALTH
Subdivision Name
LAS VEGAS MEDICAL & DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001148
340B ID
CH06033Q
Grant Number
H80CS00605
Additional Details
Current Program Status
Active
Registration Date
9/14/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/16/2009
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
El Centro Family Health
Darren Deyapp, CEO
(505) 753-7218
Primary Contact
El Centro Family Health
Christine Vigil, Director of Pharmacy Services
(505) 753-7395
Addresses
Street Address
1235 8th Street
LAS VEGAS, NM 87701-4288
Billing Address
EL CENTRO FAMILY HEALTH
PO BOX 158
ESPANOLA, NM 87532
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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