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CH06301AK LA CLINICA DE FAMILIA INC (Active)
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Main Details
Name
LA CLINICA DE FAMILIA INC
Subdivision Name
Picacho Middle School-Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036678
340B ID
CH06301AK
Grant Number
H80CS00316
Additional Details
Current Program Status
Active
Registration Date
10/3/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
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
1040 N. Motel Blvd
Las Cruces, NM 88007
Billing Address
La Clinica de Familia, Inc.
385 Calle De Alegra
Bldg. A
Las Cruces, NM 88011
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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