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CH06345BQ PRESBYTERIAN MEDICAL SERVICES, INC. (Terminated)
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Main Details
Name
PRESBYTERIAN MEDICAL SERVICES, INC.
Subdivision Name
PMS - Pecos Valley Medical Center School-Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029642
340B ID
CH06345BQ
Grant Number
H80CS00205
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2019
Participating Start Date
1/1/2020
Participating Approval Date
12/9/2019
Last Recertification Date
2/2/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Presbyterian Medical Services
Stephen M. Quesada, DIRECTOR OF PHARMACY
(505) 443-2634
Primary Contact
Presbyterian Medical Services - Santa Fe, NM
Julie Georgia Lucero, 340B Coordinator
(505) 231-4028
Addresses
Street Address
28 Panther Pkwy, North NM Highway 63
Pecos, NM 87552
Billing Address
Presbyterian Medical Services
1422 Paseo de Peralta
Santa Fe, NM 87501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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