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CH06031B LAS CLINICAS DEL NORTE (Active)
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Main Details
Name
LAS CLINICAS DEL NORTE
Subdivision Name
ABIQUIU CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020795
340B ID
CH06031B
Grant Number
H80CS00607
Additional Details
Current Program Status
Active
Registration Date
1/1/2000
Participating Start Date
1/1/2000
Participating Approval Date
1/1/2000
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Las Clinicas del Norte
Andrea Sandoval, CEO
(575) 581-4728 Ext: 253
Primary Contact
LCDN
Roxanne Rodriguez, CPhT
(575) 581-4728 Ext: 6250
Addresses
Street Address
HIGHWAY 84 Building 21124
ABIQUIU, NM 87510
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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