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CH06033B EL CENTRO FAMILY HEALTH (Active)
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Main Details
Name
EL CENTRO FAMILY HEALTH
Subdivision Name
LAS VEGAS MEDICAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001148
340B ID
CH06033B
Grant Number
H80CS00605
Additional Details
Current Program Status
Active
Registration Date
8/1/1993
Participating Start Date
8/1/1993
Participating Approval Date
8/1/1993
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
El Centro Family Health
Darren Deyapp, CEO
(505) 753-7218
Primary Contact
El Centro Family Health
Christine Vigil, Director of Pharmacy Services
(505) 753-7395
Addresses
Street Address
1235 8th Street
Las Vegas, NM 87701-4219
Billing Address
El Centro Family Health
P.O. BOX 158
ESPANOLA, NM 87532
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/3/06 - ADDR CHANGE (WAS 3031 HOT SPRINGS BLVD, P.O. BOX 1928); 3/23/07 - UPDATED ENTITY NAME (WAS HEALTH CENTERS OF NORTHERN NM)
03/03/2006
June 2025
June 2025
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