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FQHC638290C Pascua Yaqui Health Services Division (Active)
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Main Details
Name
Pascua Yaqui Health Services Division
Subdivision Name
Health Services Center II
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638290C
Additional Details
Current Program Status
Active
Registration Date
7/1/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/27/2020
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
Pascua Yaqui Tribe
JULIAN HERNANDEZ, Tribal Council Chairman
(520) 879-5110
Primary Contact
Pascua Yaqui Tribe
Serena Felix, Pharmacy Director
(520) 879-6373
Addresses
Street Address
4567 W TETAKUSIM RD
TUCSON, AZ 85746-9713
Billing Address
PASCUA YAQUI HEALTH SERVICES DIVISION
7490 S CAMINO DE OESTE
TUCSON, AZ 85746-9308
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2025
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