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HV00612B Southwest CARE Center (Terminated)
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Main Details
Name
Southwest CARE Center
Subdivision Name
Type
Ryan White Part C
340B ID
HV00612B
Grant Number
H76HA00612
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2015
Participating Start Date
10/1/2015
Participating Approval Date
9/3/2015
Last Recertification Date
2/18/2021
Time Period the Assistance was Received
9/30/2000 - 4/30/2021
Termination Date
Termination Reason
7/1/2021
Site closure
Contacts
Authorizing Official
Southwest Care Center
Jason Sanchez, CFO
(505) 395-2659
Primary Contact
Southwest CARE Center
Brianna Harrand, Director of Pharmacy Services
(505) 955-9454 Ext: 1018
Addresses
Street Address
1200 South Richardson
Roswell, NM 88203
Billing Address
Southwest CARE Center
649 Harkle Road
Suite E
Santa Fe, NM 87505
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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