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CH06024D FIRST CHOICE COMMUNITY HEALTHCARE (Active)
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Main Details
Name
FIRST CHOICE COMMUNITY HEALTHCARE
Subdivision Name
NORTH VALLEY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005069
340B ID
CH06024D
Grant Number
H80CS00202
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
4/15/2005
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
First Choice Community Healthcare
Shawna R Gonzales, CFO
(505) 873-7414
Primary Contact
First Choice Community Healthcare
Dane Tortalita, Financial Analyst
(505) 873-7400 Ext: 9053
Addresses
Street Address
1231 Candelaria Rd NW
Albuquerque, NM 87107-2767
Billing Address
FIRST CHOICE COMMUNITY HEALTHCARE, INC., ATTN: ACCOUNTS PAYABLE
2001 N CENTRO FAMILIAR BLVD. SW
ALBUQUERQUE, NM 87105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/10/12 - Changed contact information from John Denslow, R.Ph, added INC to entity name. 4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT;
04/10/2012
4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT;
10/24/2005
April 2025
April 2025
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