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CH06345G PRESBYTERIAN MEDICAL SERVICES (Active)
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Main Details
Name
PRESBYTERIAN MEDICAL SERVICES
Subdivision Name
LOVING HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001999
340B ID
CH06345G
Grant Number
H80CS00205
Additional Details
Current Program Status
Active
Registration Date
8/1/1993
Participating Start Date
8/1/1993
Participating Approval Date
8/26/2004
Last Recertification Date
2/21/2025
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
602 S. 4TH STREET
LOVING, NM 88256
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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10/25/10 UPDATED PHYS ADD (WAS 105 N. GUADALUPE PO BOX 207, LOVING, NM, 88256); 9/24/2008-UPDATED BILLING ADD. (WAS PO BOX 2267)NEW CONTACT, NEW BILL TO
10/25/2010
June 2025
June 2025
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