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CH09359AH UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC. (Active)
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Main Details
Name
UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC.
Subdivision Name
United Community Health Center at Green Valley
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036362
340B ID
CH09359AH
Grant Number
H80CS00416
Additional Details
Current Program Status
Active
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/23/2016
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
United Community Health Center Maria Auxiliadora, Inc
Tamie Olson, Chief Financial Officer
(520) 407-5600
Primary Contact
United Community Health Center
Liberty Bruss, 340B Analyst
(520) 975-2166
Addresses
Street Address
4475 S I-19 Frontage Rd STE 139
Green Valley, AZ 85614
Billing Address
United Community Health Center - Maria Auxiliadora, Inc.
1260 S. Campbell Road
Bldg 2
Green Valley, AZ 85614-0503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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