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RWI93534 AIDS HEALTHCARE FOUNDATION (Active)
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Main Details
Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF Healthcare Center - Antelope Valley
Type
Ryan White Part A
340B ID
RWI93534
Grant Number
H89HA00016
Additional Details
Current Program Status
Active
Registration Date
1/17/2020
Participating Start Date
4/1/2020
Participating Approval Date
3/6/2020
Last Recertification Date
2/20/2025
Time Period the Assistance was Received
3/1/2025 - 2/28/2026
Contacts
Authorizing Official
AIDS Healthcare Foundation
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Primary Contact
AIDS Healthcare Foundation
Barry Altstaedter, Director of Pharmacy Finance
(631) 870-5169
Addresses
Street Address
1669 W Avenue J
Suite 301
Lancaster, CA 93534
Billing Address
AIDS HEALTHCARE FOUNDATION
6255 W. Sunset Blvd.
21st Floor
Los Angeles, CA 90028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (7/1/2009), until terminated effective date: (10/1/2011), reinstatement effective date: (04/01/2020).
02/20/2020
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