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CH06301S CLINICA DE FAMILIA INC, LA (Terminated)
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Main Details
Name
CLINICA DE FAMILIA INC, LA
Subdivision Name
Anthony Mental Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017161
340B ID
CH06301S
Grant Number
H80CS00316
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/11/2016
Last Recertification Date
2/28/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
La Clinica de Familia, Inc.
Virgil Medina, CEO
(575) 526-1105
Primary Contact
La Clinica de Familia, Inc.
Olivia Martinez, Accounting Manager
(575) 526-1105
Addresses
Street Address
880 Anthony Drive Suite A
Anthony, NM 88021-9346
Billing Address
La Clinica de Familia, Inc.
385 Calle de Alegra, Bldg. A
Las Cruces, NM 88005-3423
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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