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RWI37208 METROPOLITAN INTERDENOMINATIONAL CHURCH (Terminated)
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Main Details
Name
METROPOLITAN INTERDENOMINATIONAL CHURCH
Subdivision Name
FIRST RESPONSE CLINIC
Type
Ryan White Part A
340B ID
RWI37208
Grant Number
NASHVILLE EMA
Additional Details
Current Program Status
Terminated
Registration Date
8/24/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/6/2011
Last Recertification Date
3/7/2016
Time Period the Assistance was Received
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
Metropolitan Interdenominational Church/First Response Center
TERRY TERRELL, CLINIC DIRECTOR
(615) 321-9791
Primary Contact
Metropolitan Interdenominational Church/First Response Center
TERRY TERRELL, CLINIC DIRECTOR
(615) 321-9791
Addresses
Street Address
1219 NINTH AVE NORTH
NASHVILLE, TN 37208
Billing Address
METROPOLITAN INTERDENOMINATIONAL CHURCH
PO BOX 280779
NASHVILLE, TN 37228-0779
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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