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CH06301AB CLINICA DE FAMILIA INC, LA (Terminated)
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Main Details
Name
CLINICA DE FAMILIA INC, LA
Subdivision Name
Anthony Psychosocial Rehabilitation
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017633
340B ID
CH06301AB
Grant Number
H80CS00316
Additional Details
Current Program Status
Terminated
Registration Date
10/16/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/24/2017
Last Recertification Date
2/28/2018
Termination Date
Termination Reason
7/1/2018
Site closure
Contacts
Authorizing Official
La Clinica de Familia, Inc.
Virgil Medina, CEO
(575) 526-1105
Primary Contact
La Clinica de Familia, Inc.
Olivia Martinez, Accounting Manager
(575) 526-1105
Addresses
Street Address
880 Anthony Drive, Suite 12
Anthony, NM 88021
Billing Address
La Clinica de Familia, Inc.
385 Called de Alegra Bldg A
Las Cruces, NM 88005
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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