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RWII79601 Dignity Health Management Center, Inc. (Active)
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Main Details
Name
Dignity Health Management Center, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII79601
Grant Number
X07HA00054
Additional Details
Current Program Status
Active
Registration Date
4/28/2022
Participating Start Date
4/28/2022
Participating Approval Date
4/28/2022
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2024 - 3/31/2025
Contacts
Authorizing Official
Dignity Health Management Center
Joy Ellinger, Executive Director
(325) 669-7500
Primary Contact
Dignity Health Management Center
Jamie Tarantella, Director of Programs
(325) 672-3077
Addresses
Street Address
402 Butternut St.
Abilene, TX 79602
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (10/1/2011) until terminated effective date: (4/1/2022) reinstatement effective date: (04/28/22)
04/28/2022
May 2025
May 2025
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