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HV00101 AUGUSTA UNIVERSITY (Active)
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Main Details
Name
AUGUSTA UNIVERSITY
Subdivision Name
Type
Ryan White Part C
340B ID
HV00101
Grant Number
H76HA00101
Additional Details
Current Program Status
Active
Registration Date
6/15/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/16/2010
Last Recertification Date
2/12/2025
Time Period the Assistance was Received
1/1/2025 - 12/31/2025
Contacts
Authorizing Official
Augusta University
David C. Hess, Dean, Medical College of Georgia
(706) 721-2231
Primary Contact
Augusta University
Annastesia Mims, Quality Coordinator
(706) 721-6269
Addresses
Street Address
1120 15th St
AUGUSTA, GA 30912
Billing Address
Augusta University
1120 15th St
Augusta, GA 30912
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/22/11 ENTITY NAME CHANGE (WAS MEDICAL COLLEGE OF GEORGIA)
03/22/2011
May 2025
May 2025
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