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CH06301C LA CLINICA DE FAMILIA, INC. (Active)
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Main Details
Name
LA CLINICA DE FAMILIA, INC.
Subdivision Name
SAN MIGUEL MEDICAL & DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010114
340B ID
CH06301C
Grant Number
H80CS00316
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
2/27/2009
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
La Clinica de Familia, Inc.
Virgil Medina, CEO
(575) 526-1105
Primary Contact
La Clinica de Familia, Inc.
Rosemary Melendez Acosta, Pharmacist
(575) 526-1105
Addresses
Street Address
18420 S. Highway 28
SAN MIGUEL, NM 88058
Billing Address
LA CLINICA DE FAMILIA, INC.
385 Calle de Alegra
Bldg. A
LAS CRUCES, NM 88005
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/27/09 - ADDED BILLING ADDR. 1/18/08- ADDED IN-HOUSE PHARMACY AS SHIPPING ADDRESS.
02/27/2009
April 2025
April 2025
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