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CH06123M CENTRO DE SALUD FAMILIAR LA FE, INC (Active)
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Main Details
Name
CENTRO DE SALUD FAMILIAR LA FE, INC
Subdivision Name
SAN ELIZARIO SATELLITE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011385
340B ID
CH06123M
Grant Number
H80CS00128
Additional Details
Current Program Status
Active
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Centro de Salud Familiar La Fe, Inc.
Salvador Balcorta, CEO
(915) 534-7979
Primary Contact
Centro De Salud Familiar La Fe, Inc.
Babette Pedregon, Pharmacist-In-Charge
(915) 545-7080
Addresses
Street Address
12101 SOCORRO RD.
SAN ELIZARIO, TX 79849-7393
Billing Address
CENTRO DE SALUD FAMILIAR LA FE, INC.
1314 E. YANDELL
El Paso, TX 79902
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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