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HM91010 CITY OF HOPE HEMOPHILIA TREATMENT CENTER (Terminated)
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Main Details
Name
CITY OF HOPE HEMOPHILIA TREATMENT CENTER
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM91010
Grant Number
H30MC24045
Additional Details
Current Program Status
Terminated
Registration Date
2/9/2006
Participating Start Date
4/1/2006
Participating Approval Date
2/9/2006
Last Recertification Date
2/8/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
City of Hope
Joel Helmke, SVP, Operations
(626) 218-0301
Primary Contact
City of Hope
NADIA P. EWING, DIRECTOR
(626) 301-8858
Addresses
Street Address
1500 EAST DUARTE ROAD
DUARTE, CA 91010-3000
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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9/19/07 - CORRECTED MEDICAID PROVIDER # (WAS PHP185180)
02/09/2006
May 2025
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