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HV073390 KANSAS CITY FREE HEALTH CLINIC (Terminated)
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Main Details
Name
KANSAS CITY FREE HEALTH CLINIC
Subdivision Name
Type
Ryan White Part C
340B ID
HV073390
Grant Number
H76HA00140
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
12/1/2004
Last Recertification Date
2/23/2017
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2017
Failure to recertify
Contacts
Authorizing Official
Kevin Thorpe, COO
(816) 777-2765
Primary Contact
Kansas City CARE Clinic
Kamile Johnson, Vice President of Pharmacy Services
(816) 777-2798
Addresses
Street Address
3515 BROADWAY STREET
KANSAS CITY, MO 64111
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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NEW SITE 01/01/2005
08/18/2006
April 2025
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