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FQHC638555 PASCUA YAQUI HEALTH SERVICES DIVISION (Active)
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Main Details
Name
PASCUA YAQUI HEALTH SERVICES DIVISION
Subdivision Name
NEW BEGINNINGS
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638555
Additional Details
Current Program Status
Active
Registration Date
4/15/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/2/2019
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Pascua Yaqui Tribe
JULIAN HERNANDEZ, Tribal Council Chairman
(520) 879-5110
Primary Contact
Pascua Yaqui Tribe
Serena Felix, Pharmacy Director
(520) 879-6373
Addresses
Street Address
7490 S CAMINO DE OESTE
TUCSON, AZ 85746-9308
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2025
June 2025
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