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FQHC638017 SANTA YNEZ TRIBAL HEALTH CLINIC (Active)
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Main Details
Name
SANTA YNEZ TRIBAL HEALTH CLINIC
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638017
Additional Details
Current Program Status
Active
Registration Date
1/1/1995
Participating Start Date
1/1/1995
Participating Approval Date
1/1/1995
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Santa Ynez Tribal Health Clinic
Courtney Finney, Financial Services Manager
(805) 291-1241
Primary Contact
Santa Ynez Tribal Health Clinic
Cynthia Lara, Accountant I
(805) 691-1231
Addresses
Street Address
90 VIA JUANA LANE
SANTA YNEZ, CA 93460
Billing Address
SANTA YNEZ TRIBAL HEALTH CLINIC
585 McMurray Rd
Attn: Cynthia Lara
Buellton, CA 93427
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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9/13/07 - UPDATED ENTITY NAME AND ADDRESS (WAS SANTA YNEZ INDIAN HEALTH, PO BOX 539, 3410 EAST HIGHWAY 246) AND ADDED BILLING ADDRESS
09/13/2007
April 2025
April 2025
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