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RW400106E JEFFERSON COMPREHENSIVE CARE SYSTEM INC (Terminated)
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Main Details
Name
JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Subdivision Name
LITTLE ROCK COMMUNITY HEALTH CENTER
Type
Ryan White Part D
340B ID
RW400106E
Grant Number
H12HA00106
Additional Details
Current Program Status
Terminated
Registration Date
12/6/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/6/2006
Last Recertification Date
2/23/2018
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2019
Terminated - Reason unknown
Contacts
Authorizing Official
Jefferson Comprehensive Care System, Inc
Sandra J. Brown, Chief Executive Officer
(870) 543-2300
Primary Contact
Jefferson Comprehensive Care System, Inc.
Chanda Evans-McField, Chief Financial Officer
(870) 543-2300
Addresses
Street Address
1100 N. University, S-125
LITTLE ROCK, AR 72207
Billing Address
JEFFERSON COMPREHENSIVE CARE SYSTEM INC.
PO BOX 1285
PINE BLUFF, AR 71613-1285
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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