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HV00578 UNIVERSITY OF ALABAMA AT BIRMINGHAM (1917 CLINIC) (Active)
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Main Details
Name
UNIVERSITY OF ALABAMA AT BIRMINGHAM (1917 CLINIC)
Subdivision Name
Type
Ryan White Part C
340B ID
HV00578
Grant Number
H76HA25710
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
2/20/2025
Time Period the Assistance was Received
2/1/2013 - 4/30/2025
Contacts
Authorizing Official
UAB Health System
Dawn S Bulgarella, Chief Executive Officer
(205) 975-5412
Primary Contact
University of Alabama at Birmingham
Christa Renee Nevin, Director, 1917 Clinic
(205) 996-2373
Addresses
Street Address
3220 5th Avenue South
2nd Floor
BIRMINGHAM, AL 35222
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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