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CHC26605-04 NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES (Active)
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Main Details
Name
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Subdivision Name
Northern Nevada HIV Outpatient Program Education and Services--4th St. Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038290
340B ID
CHC26605-04
Grant Number
H80CS26605
Additional Details
Current Program Status
Active
Registration Date
4/9/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/11/2024
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Northern Nevada HIV Outpatient Program Education and Services
Sharon Chamberlain, Chief Executive Officer
(775) 348-2895
Primary Contact
Northern Nevada Hopes
Tida Watkins, Director of Pharmacy
(775) 348-1306
Addresses
Street Address
1905 E 4th St
Reno, NV 89512-3789
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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