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HM38103 UT-MEMPHIS DBA UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER (Terminated)
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Main Details
Name
UT-MEMPHIS DBA UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
Subdivision Name
UT Hematology
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM38103
Grant Number
H30MC24046-02-02
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/19/2015
Last Recertification Date
2/25/2021
Termination Date
Termination Reason
2/11/2022
Loss of qualifying grant/support
Contacts
Authorizing Official
University Clinical Health
Laura Eva Kaplan, Director of Operations
(901) 866-8546
Primary Contact
University Clinical Health
Brandi Tribble, Clinical Operations Administrator
(901) 866-8547
Addresses
Street Address
6401 Poplar Ave
Suite 195
Memphis, TN 38119
Billing Address
University Clinical Health
1407 Union Ave, 7th Flr
c/o UT Hematology
Memphis, TN 38104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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11/19/15 reinstated effective 1/1/16, was participating from 10/1/2009 to 3/31/13, not participating from 4/1/2013 to 12/31/2015 due to failure to recertify
11/19/2015
April 2025
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