Children’s hospital · NM
DEBACA FAMILY PRACTICE CLINIC
- 0Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 October 2015In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “DEBACA FAMILY PRACTICE CLINIC” (340B ID CH06756A), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH06756A
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 October 2015
- Termination date
- 1 April 2019
- Termination reason
- Site closure
- Certification date
- 28 February 2018
- Record last edited
- 1 April 2019
Identifiers
- 340B ID
- CH06756A
- Entity type as filed
- CH
- Site ID
- BPS-H80-014395
- Grant number
- H80CS00861
552 US Highway 54, Santa Rosa NM 88435
Associated locations
| Organization | Address | Where |
|---|---|---|
| DEBACA FAMILY PRACTICE CLINIC | 552 US Highway 54 | Santa Rosa NM 88435 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.