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CH06033AF EL CENTRO FAMILY HEALTH (Active)
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Main Details
Name
EL CENTRO FAMILY HEALTH
Subdivision Name
Sierra Vista School Based Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020832
340B ID
CH06033AF
Grant Number
H80CS00605
Additional Details
Current Program Status
Active
Registration Date
10/3/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/17/2017
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
El Centro Family Health
Darren Deyapp, CEO
(505) 753-7218
Primary Contact
El Centro Family Health
Christine Vigil, Director of Pharmacy Services
(505) 753-7395
Addresses
Street Address
475 Legion Drive
Las Vegas, NM 87701
Billing Address
El Centro Family Health
PO Box 158
Espanola, NM 87532
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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