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CH09016AE EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. (Terminated)
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Main Details
Name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
EL RIO CLINIC AT CODAC BEHAVIORAL HEALTH EAST
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013833
340B ID
CH09016AE
Grant Number
H80CS00230
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/20/2015
Last Recertification Date
2/9/2017
Termination Date
Termination Reason
4/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
El Rio Health
Nancy Johnson, CEO
(520) 309-2011
Primary Contact
El RIo Health
Joshua Carzoli, Chief Operating Officer
(520) 309-3959
Addresses
Street Address
630 N ALVERNON WAY
TUCSON, AZ 85711-1843
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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