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CH08126F Mountain Family Health Centers (Active)
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Main Details
Name
Mountain Family Health Centers
Subdivision Name
Mountain Family Health Centers Avon
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035663
340B ID
CH08126F
Grant Number
H80CS00830
Additional Details
Current Program Status
Active
Registration Date
4/7/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/30/2014
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mountain Family Health Centers
Art M Fernandez, Chief Operating Officer
(970) 945-2840 Ext: 7205
Primary Contact
Mountain Family Health Centers
Shiela Kendall, Provider Relations and Credentialing Manager
(970) 945-2840 Ext: 7369
Addresses
Street Address
230 Chapel Square
Unit D-102
Avon, CO 81620-6497
Billing Address
Mountain Family Health Centers
PO Box 339
Glenwood Springs, CO 81602-0339
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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