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CHC12845-00 NATIVE HEALTH (Active)
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Main Details
Name
NATIVE HEALTH
Subdivision Name
NATIVE HEALTH West 8800
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038614
340B ID
CHC12845-00
Grant Number
H80CS12845
Additional Details
Current Program Status
Active
Registration Date
11/28/2011
Participating Start Date
4/1/2012
Participating Approval Date
1/23/2012
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Native Health
Walter Murillo, Chief Executive Officer
(602) 279-5262
Primary Contact
NATIVE HEALTH
Mitchell Terry, Chief Compliance Officer
(602) 279-5262 Ext: 11028
Addresses
Street Address
8800 N 22nd Ave
Phoenix, AZ 85021
Billing Address
Native Health Central
4041 N Central Ave
Building C
Phoenix, AZ 85012
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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