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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
HV0413130A MONTGOMERY AIDS OUTREACH, INC. (Terminated)
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Main Details
Name
MONTGOMERY AIDS OUTREACH, INC.
Subdivision Name
Dothan
Type
Ryan White Part C
340B ID
HV0413130A
Grant Number
H76HA00099
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/13/2013
Last Recertification Date
1/31/2022
Time Period the Assistance was Received
1/1/2022 - 12/31/2024
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
West Alabama AIDS Outreach DBA Five Horizons Health Services
Billy Kirkpatrick, Chief Executive Officer
(205) 759-8470 Ext: 7
Primary Contact
West Alabama AIDS Outreach dba Five Horizons Health Services
Nicole Vazquez, 340B Program Manager
(659) 284-2371
Addresses
Street Address
1865 Honeysuckle Road
Suite 3
Dothan, AL 36305
Billing Address
Montgomery AIDS Outreach
P.O. Box 11087
Montgomery, AL 36111
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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