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CH08126Q Mountain Family Health Centers (Active)
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Main Details
Name
Mountain Family Health Centers
Subdivision Name
Mountain Family Health Centers Gypsum
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036918
340B ID
CH08126Q
Grant Number
H80CS00830
Additional Details
Current Program Status
Active
Registration Date
9/5/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/6/2023
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mountain Family Health Centers
Art M Fernandez, Chief Operating Officer
(970) 945-2840 Ext: 7205
Primary Contact
Mountain Family Health Centers
Shiela Kendall, Provider Relations and Credentialing Manager
(970) 945-2840 Ext: 7369
Addresses
Street Address
410 McGregor Drive
Gypsum, CO 81637-0000
Billing Address
Mountain Family Health Centers
PO Box 339
Glenwood Springs, CO 81602-0339
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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