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RWIID802221 COLORADO DEPT OF PUBLIC HEALTH & ENVIRONMENT (Active)
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Main Details
Name
COLORADO DEPT OF PUBLIC HEALTH & ENVIRONMENT
Subdivision Name
RYAN WHITE CARE PROGRAM
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID802221
Grant Number
X07HA00056
Additional Details
Current Program Status
Active
Registration Date
4/1/1997
Participating Start Date
4/1/1997
Participating Approval Date
6/7/2005
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2026
Contacts
Authorizing Official
Colorado Department of Public Health and Environment
Justin Tarr, Deputy Director, Office of STI/HIV/VH
(720) 688-2764
Primary Contact
Colorado Department of Public Health and Environment
Maria Jackson, Care and Services Program Manager
(303) 692-2785
Addresses
Street Address
4300 CHERRY CREEK DRIVE SOUTH
DENVER, CO 80246-1530
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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06/29/09 ADDED BILL TO; 3/22/06 UPDATED MEDICAID # (WAS RW802221)
07/28/2010
April 2025
April 2025
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