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HV08103 The Cooper Health System (Active)
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Main Details
Name
The Cooper Health System
Subdivision Name
Early Intervention Program (EIP)
Type
Ryan White Part C
340B ID
HV08103
Grant Number
H76HA01727
Additional Details
Current Program Status
Active
Registration Date
1/4/2013
Participating Start Date
2/4/2013
Participating Approval Date
2/4/2013
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
4/1/2025 - 3/31/2028
Contacts
Authorizing Official
Cooper Health System
Pamela Gorman, Administrative Director, Early Intervention Program and Infectious Diseases
(856) 963-3833
Primary Contact
Cooper Health System
Stacy Smith, Business Operations Manager, Early Intervention Program and Infectious Diseases
(856) 342-2901
Addresses
Street Address
3 Cooper Plaza, Suite 513
Camden, NJ 08103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/4/13 IMMEDIATE START DATE DUE TO PUBLIC HEALTH EMERGENCY IN NEW JERSEY AT THE TIME THE REGISTRATION WAS SUBMITTED
02/04/2013
April 2025
April 2025
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