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CH061290 LA CASA DE BUENA SALUD (Active)
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Main Details
Name
LA CASA DE BUENA SALUD
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004988
340B ID
CH061290
Grant Number
H80CS00404
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/1/1992
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
La Casa de Buena Salud, Inc.
Carmen Pacheco, COO
(575) 356-6695 Ext: 3801
Primary Contact
La Casa Family Health Center
Seferino Montano, CEO
(575) 356-6695 Ext: 3801
Addresses
Street Address
1515 WEST FIR
PORTALES, NM 88130
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
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