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CH09265A AJO COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
AJO COMMUNITY HEALTH CENTER
Subdivision Name
Desert Senita Community Health Center Arizona City
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034480
340B ID
CH09265A
Grant Number
H80CS00753
Additional Details
Current Program Status
Active
Registration Date
7/10/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Ajo Community Health Center
Daniel L Barbara, Chief Executive Officer
(520) 387-5651 Ext: 3007
Primary Contact
Ajo Community Health Center
Jared Hatchard, Pharmacy Director
(520) 387-5651 Ext: 4249
Addresses
Street Address
14574 S SUNLAND GIN RD
ARIZONA CITY, AZ 85123
Billing Address
Ajo Community Health Center
410 N Malacate St
Ajo, AZ 85321
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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