Covered Entity Details

RWI10035 Bailey House (Terminated)

Main Details

Name

Bailey House

Subdivision Name

Type

Ryan White Part A

340B ID

RWI10035

Grant Number

H89HA00015

Additional Details

Current Program Status

Terminated

Registration Date

7/8/2014

Participating Start Date

10/1/2014

Participating Approval Date

7/31/2014

Last Recertification Date

2/6/2019

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2020
Business decision by the Covered Entity

Contacts

Authorizing Official

Bailey House, Inc.
Lauren Estby, Vice President of Integrated Health and Operations
(212) 633-2500 Ext: 332

Primary Contact

Bailey House
Dan Tietz, CEO
(212) 633-2500

Addresses

Street Address

1751 Park Avenue
New York, NY 10035

Billing Address
Same as Street Address

Comment	Last Updated On
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1 Item 1 to 2 of 2 Page: of 1 Page size:
9/30/14 on-line reinstatement of site previously participating starting 7/1/13 and terminated 4/1/14 due to failure to recertify, not enrolled 4/1/14 to 9/30/14; 6/25/13 participating 10/1/12 thru 12/31/12, not participating 1/1/13 thru 6/30/13 , re-instated effective 7/1/13 based on a new registration submitted;	09/30/2014
6/25/13 participating 10/1/12 thru 12/31/12, not participating 1/1/13 thru 6/30/13, re-instated effective 7/1/13 based on a new registration submitted;	06/25/2013

340B Drug Pricing Program Database