Covered Entity Details

CH09303D ADELANTE HEALTHCARE, INC. (Active)

Main Details

Name

ADELANTE HEALTHCARE, INC.

Subdivision Name

Adelante Healthcare Wickenburg

Type

HRSA-Funded Health Center

Site ID

BPS-H80-007658

340B ID

CH09303D

Grant Number

H80CS00140

Additional Details

Current Program Status

Active

Registration Date

7/1/1998

Participating Start Date

7/1/1998

Participating Approval Date

8/9/2005

Last Recertification Date

2/12/2025

Contacts

Authorizing Official

Adelante Healthcare
Pedro Cons, CEO
(623) 583-3001 Ext: 011105

Primary Contact

Adelante Healthcare
Amanda Christine Murray, 340b Program Manager
(602) 583-3001 Ext: 011312

Addresses

Street Address

811 N. Tegner St Ste 113
Wickenburg, AZ 85390

Billing Address

ADELANTE HEALTHCARE
3033 N. Central Ave
PHOENIX, AZ 85012

Comment	Last Updated On
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1 Item 1 to 2 of 2 Page: of 1 Page size:
3/9/12-Changed contact person (was VIVIAN MATSON); 5/18/11 UPDATED ENTITY NAME (WAS CLINICA ADELANTE, INC.); 2/28/11 ADDED BILL ADD; 10/29/08 UPDATED ADDR (WAS 466 WEST WICKENBURG WAY,85358-3211)	03/09/2012
5/18/11 UPDATED ENTITY NAME (WAS CLINICA ADELANTE, INC.); 2/28/11 ADDED BILL ADD; 10/29/08 UPDATED ADDR (WAS 466 WEST WICKENBURG WAY,85358-3211)	05/19/2011

340B Drug Pricing Program Database