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CH09009B Mariposa Community Health Center, Inc. (Active)
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Main Details
Name
Mariposa Community Health Center, Inc.
Subdivision Name
Mariposa Community Health Center's Tubac Regional Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036337
340B ID
CH09009B
Grant Number
H80CS00752
Additional Details
Current Program Status
Active
Registration Date
7/5/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mariposa Community Health Center
Amy Taylor, CEO
(520) 281-1550 Ext: 1007
Primary Contact
Mariposa Community Health Center
Michael Roland Castillo, Chief Pharmacy Officer
(520) 377-5417
Addresses
Street Address
2221 E Frontage Rd, Bldg G & F STE 101, 104,
Tubac, AZ 85646
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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