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CH06033T El Centro Family Health (Active)
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Main Details
Name
El Centro Family Health
Subdivision Name
TAOS CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011175
340B ID
CH06033T
Grant Number
H80CS00605
Additional Details
Current Program Status
Active
Registration Date
7/3/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/11/2012
Last Recertification Date
2/11/2025
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
1331 Gusdorf Road
Taos, NM 87571-6282
Billing Address
EL CENTRO FAMILY HEALTH
PO BOX 158
ESPANOLA, NM 87532-0158
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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