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RWI94117 MAITRI COMPASSIONATE CARE (Terminated)
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Main Details
Name
MAITRI COMPASSIONATE CARE
Subdivision Name
Type
Ryan White Part A
340B ID
RWI94117
Grant Number
H89HA00006
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2019
Participating Start Date
7/1/2019
Participating Approval Date
6/3/2019
Last Recertification Date
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2020
Failure to recertify
Contacts
Authorizing Official
Maitri
Michael Smithwick, Executive Director
(415) 558-3001
Primary Contact
Maitri Compassionate Care
Greg Christian, Facilities & Administration Manager
(415) 558-3014
Addresses
Street Address
401 DUBOCE AVE
SAN FRANCISCO, CA 94117-3561
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date (7/1/2015), until terminated effective date (4/1/2018), reinstatement effective date (07/01/2019)
05/31/2019
5/13/15 participating 4/1/10 thru 9/30/11, not participating 10/1/11 thru 6/30/15
05/13/2015
May 2025
May 2025
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