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CH06345AU PRESBYTERIAN MEDICAL SERVICES, INC. (Terminated)
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Main Details
Name
PRESBYTERIAN MEDICAL SERVICES, INC.
Subdivision Name
PMS - Healthy Tomorrows Van
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008163
340B ID
CH06345AU
Grant Number
H80CS00205
Additional Details
Current Program Status
Terminated
Registration Date
4/2/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/28/2013
Last Recertification Date
2/14/2022
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Presbyterian Medical Services
Stephen M. Quesada, DIRECTOR OF PHARMACY
(505) 443-2634
Primary Contact
Presbyterian Medical Services
Steven C. Hansen, CEO
(505) 982-5565 Ext: 3470
Addresses
Street Address
2100 Yucca St
Santa Fe, NM 87505-5456
Billing Address
Presbyterian Medical Services
1422 Paseo de Peralta
Santa Fe, NM 87501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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