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HV090750 MARICOPA COUNTY SPECIALTY HEALTH CARE DISTRICT (Active)
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Main Details
Name
MARICOPA COUNTY SPECIALTY HEALTH CARE DISTRICT
Subdivision Name
Valleywise Community Health Center - McDowell
Type
Ryan White Part C
340B ID
HV090750
Grant Number
H76HA00151
Additional Details
Current Program Status
Active
Registration Date
7/1/1995
Participating Start Date
7/1/1995
Participating Approval Date
7/1/1995
Last Recertification Date
2/20/2025
Time Period the Assistance was Received
1/1/2024 - 12/31/2028
Contacts
Authorizing Official
Maricopa County Special Health Care District
Michael White, Executive Vice President, Chief Clinical Officer
(602) 344-5503
Primary Contact
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT DBA VALLEYWISE HEALTH
Alba Misty Vo, Director of Pharmacy
(602) 344-5253
Addresses
Street Address
Valleywise Community Health Center - McDowell
1101 N. Central Ave.
Ste. 204
PHOENIX, AZ 85004
Billing Address
Maricopa County Special Health Care District
Valleywise Health Medical Center
2601 E. ROOSEVELT STREET
Phoenix, AZ 85008
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Last Recertification Date 03/12/2021
03/12/2021
April 2025
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