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HV00801 DISTRICT 3 UNIT 1 (Terminated)
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Main Details
Name
DISTRICT 3 UNIT 1
Subdivision Name
COBB COUNTY HEALTH DEPARTMENT
Type
Ryan White Part C
340B ID
HV00801
Grant Number
H76HA00801
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/14/2017
Last Recertification Date
2/26/2021
Time Period the Assistance was Received
4/1/2020 - 3/31/2021
Termination Date
Termination Reason
4/1/2022
Loss of qualifying grant/support
Contacts
Authorizing Official
Cobb and Douglas Public Health
Catharine Smythe, Director, Center for Clinical Services
(770) 514-2351
Primary Contact
Cobb & Douglas Public Health
Selina Gore Moon, RPH
(770) 514-2345
Addresses
Street Address
1650 COUNTY SERVICES PARKWAY
MARIETTA, GA 30008-4010
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/14/17 Participating from 04/01/2005 until terminated effective 1/1/2013, reinstated effective 04/01/2017
03/14/2017
NEW SITE 04/01/2005
03/15/2005
May 2025
May 2025
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