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CH06301AJ CLINICA DE FAMILIA INC, LA (Active)
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Main Details
Name
CLINICA DE FAMILIA INC, LA
Subdivision Name
La Clinica de Familia's Community Mental Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032332
340B ID
CH06301AJ
Grant Number
H80CS00316
Additional Details
Current Program Status
Active
Registration Date
1/6/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/18/2022
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
760 N Motel Blvd STE A-C
Las Cruces, NM 88007-4169
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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June 2025
June 2025
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