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CH03682A LA CLINICA DEL PUEBLO, INC. (Active)
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Main Details
Name
LA CLINICA DEL PUEBLO, INC.
Subdivision Name
La Clinica del Pueblo - Hyattsville Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017965
340B ID
CH03682A
Grant Number
H80CS08244
Additional Details
Current Program Status
Active
Registration Date
1/10/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/8/2017
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
La Clinica del Pueblo
Carlos Plazas, CFO/COO
(202) 464-0141
Primary Contact
La Clinica
Altinay D Kayani, Accounting Manager
(443) 360-8309
Addresses
Street Address
2970 Belcrest Center Drive, Suite #301
Hyattsville, MD 20782-2078
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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