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CH02126B CORPORACION DE SERVICOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO (Active)
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Main Details
Name
CORPORACION DE SERVICOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
Subdivision Name
UTUADO NAP SATELLITE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012930
340B ID
CH02126B
Grant Number
H80CS00334
Additional Details
Current Program Status
Active
Registration Date
1/5/2016
Participating Start Date
4/1/2016
Participating Approval Date
1/8/2016
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Corporacion de Servicios Medicos Primarios y Prevencion de Hatillo
Lorena Torres Mercado, CEO
(787) 898-4190 Ext: 406
Primary Contact
CORPORACION DE SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
JACKELINE ROMAN ACEVEDO, Compliance Officer
(787) 898-4190 Ext: 416
Addresses
Street Address
ANTONIO R. BARCELO #5
UTUADO, PR 00641
Billing Address
Corporacion de Servicios Medicos Primarios y Prevencion de Hatillo
PO BOX 907
Hatillo, PR 00659-1843
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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