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CH06024H FIRST CHOICE COMMUNITY HEALTHCARE (Terminated)
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Main Details
Name
FIRST CHOICE COMMUNITY HEALTHCARE
Subdivision Name
BELEN CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003462
340B ID
CH06024H
Grant Number
H80CS00202
Additional Details
Current Program Status
Terminated
Registration Date
10/1/1999
Participating Start Date
10/1/1999
Participating Approval Date
4/15/2005
Last Recertification Date
2/26/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
First Choice Community Healthcare
Shawna R Gonzales, CFO
(505) 873-7414
Primary Contact
First Choice Community Healthcare
Dane Tortalita, Financial Analyst
(505) 873-7400 Ext: 9053
Addresses
Street Address
120 S 9th St
Belen, NM 87002-3102
Billing Address
FIRST CHOICE COMMUNITY HEALTHCARE, INC., ATTN: ACCOUNTS PAYABLE
2001 N CENTRO FAMILIAR BLVD. SW
ALBUQUERQUE, NM 87105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/10/12 - Changed contact information from John Denslow, R.Ph, added INC to entity name. 4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT;
04/10/2012
4/15/05 - NEW BILL TO, 10/24/05 - NEW CONTACT;
10/24/2005
April 2025
April 2025
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