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HV54203 Vivent Health (Active)
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Main Details
Name
Vivent Health
Subdivision Name
Type
Ryan White Part C
340B ID
HV54203
Grant Number
H76HA00621
Additional Details
Current Program Status
Active
Registration Date
4/1/2003
Participating Start Date
4/1/2003
Participating Approval Date
4/1/2003
Last Recertification Date
2/23/2025
Time Period the Assistance was Received
5/1/2023 - 4/30/2025
Contacts
Authorizing Official
Vivent Health
Timothy Denis Dyer, Executive Vice President & CFO
(414) 225-1542
Primary Contact
Vivent Health
Daniel Guinn, VP Compliance & General Counsel
(608) 316-8602
Addresses
Street Address
1311 N 6th Street
MILWAUKEE, WI 53212
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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