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HV44101 CARE ALLIANCE HEALTH CENTER (Terminated)
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Main Details
Name
CARE ALLIANCE HEALTH CENTER
Subdivision Name
Type
Ryan White Part C
340B ID
HV44101
Grant Number
H76HA00607
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
1/12/2010
Last Recertification Date
2/28/2022
Time Period the Assistance was Received
5/1/2020 - 4/30/2021
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
CARE ALLIANCE
Claude L. Jones, PRESIDENT / CEO
(216) 535-9100
Primary Contact
Care Alliance Health Center
Derek Singrey, Pharmacy Director
(216) 781-6228 Ext: 580
Addresses
Street Address
1530 ST. CLAIR AVE
CLEVELAND, OH 44114-2004
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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