Covered Entity Details

CH06345K PRESBYTERIAN MEDICAL SERVICES (Active)

Main Details

Name

PRESBYTERIAN MEDICAL SERVICES

Subdivision Name

ESPERANZA FAMILY HEALTH CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-002562

340B ID

CH06345K

Grant Number

H80CS00205

Additional Details

Current Program Status

Active

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

6/17/2005

Last Recertification Date

2/18/2025

Contacts

Authorizing Official

Presbyterian Medical Services
Stephen M. Quesada, DIRECTOR OF PHARMACY
(505) 443-2634

Primary Contact

Presbyterian Medical Services - Santa Fe, NM
Julie Georgia Lucero, 340B Coordinator
(505) 231-4028

Addresses

Street Address

903C N. 5TH STREET
ESTANCIA, NM 87016-0000

Billing Address

PRESBYTERIAN MEDICAL SERVICES
1422 PASEO DE PERALTA
SANTA FE, NM 87501

Comment	Last Updated On
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9/24/2008-UPDATED BILLING ADD. (WAS PO BOX 2267) NEW CONTACT, NEW BILL TO, 6/17/05 - NEW NAME & ADDRESS (WAS HOPE MEDICAL CENTER, 8TH & ALLEN, PO BOX 807)	08/01/2011
9/24/2008-UPDATED BILLING ADD. (WAS PO BOX 2267) NEW CONTACT, NEW BILL TO, 6/17/05 - NEW NAME & ADDRESS (WAS HOPE MEDICAL CENTER, 8TH & ALLEN, PO BOX 807)	09/24/2008

340B Drug Pricing Program Database