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CH08126B Mountain Family Health Centers (Active)
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Main Details
Name
Mountain Family Health Centers
Subdivision Name
Mountain Family Health Centers Glenwood Springs
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002901
340B ID
CH08126B
Grant Number
H80CS00830
Additional Details
Current Program Status
Active
Registration Date
10/1/1999
Participating Start Date
10/1/1999
Participating Approval Date
12/11/2003
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mountain Family Health Centers
Art M Fernandez, Chief Operating Officer
(970) 945-2840 Ext: 7205
Primary Contact
Mountain Family Health Centers
Shiela Kendall, Provider Relations and Credentialing Manager
(970) 945-2840 Ext: 7369
Addresses
Street Address
1905 BLAKE AVE
STE 101
GLENWOOD SPRINGS, CO 81601-4206
Billing Address
Mountain Family Health Centers
PO Box 339
Glenwood Springs, CO 81602-0339
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW NAME/ADDRESS ADD BILLING ADDRESS & SHIPPING ADDRESS
01/10/2007
NEW NAME/ADDRESS ADD BILLING ADDRESS & SHIPPING ADDRESS
01/10/2007
April 2025
April 2025
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