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CH09359AK United Community Health Center-Maria Auxiliadora, Inc. (Active)
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Main Details
Name
United Community Health Center-Maria Auxiliadora, Inc.
Subdivision Name
United Community Health Center at La Canada Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024666
340B ID
CH09359AK
Grant Number
H80CS00416
Additional Details
Current Program Status
Active
Registration Date
1/4/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/14/2019
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
United Community Health Center Maria Auxiliadora, Inc
Tamie Olson, Chief Financial Officer
(520) 407-5600
Primary Contact
United Community Health Center
Liberty Bruss, 340B Analyst
(520) 975-2166
Addresses
Street Address
18857 S La Canada Dr.
Sahuarita, AZ 85629
Billing Address
United Community Health Center-Maria Auxiliadora, Inc.
1260 S. Campbell Rd
BLDG 2
Green Valley, AZ 85614-0503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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