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CH02126C 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
CSM Aguadilla Satellite Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019018
340B ID
CH02126C
Grant Number
H80CS00334
Additional Details
Current Program Status
Active
Registration Date
7/14/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/19/2017
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
Carr 107 KM 0.7
Aguadilla, PR 00603
Billing Address
CORPORACION DE SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
PO BOX 907
Hatillo, PR 00659-0907
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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