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CHC08229-00 FIRST NATIONS COMMUNITY HEALTH SOURCE INC (Active)
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Main Details
Name
FIRST NATIONS COMMUNITY HEALTH SOURCE INC
Subdivision Name
First Nations Community HealthSource
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005607
340B ID
CHC08229-00
Grant Number
H80CS08229
Additional Details
Current Program Status
Active
Registration Date
3/1/2010
Participating Start Date
1/1/2015
Participating Approval Date
3/9/2010
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
First Nations Community HealthSource
Linda Son-Stone, CEO
(505) 262-6546
Primary Contact
First Nations Community HealthSource
Jane Anne Burak, CFO
(505) 262-2481
Addresses
Street Address
5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/7/14 participating 4/1/10 thru 3/31/14, not participating 4/1/14 thru 12/31/14, reinstated based on on-line registration submitted in October 2014
11/07/2014
April 2025
April 2025
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