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RWII86305 Northland Cares (Active)
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Main Details
Name
Northland Cares
Subdivision Name
Northland Cares
Type
Ryan White Part B
340B ID
RWII86305
Grant Number
X07HA00080
Additional Details
Current Program Status
Active
Registration Date
4/1/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/10/2013
Last Recertification Date
2/27/2025
Time Period the Assistance was Received
4/1/2022 - 3/27/2025
Contacts
Authorizing Official
Northland Cares
Johnny Martinez, Executive Director
(928) 776-4612
Primary Contact
Northland Cares
Sarah Barry, Accounting and Finance Manager
(928) 776-4612
Addresses
Street Address
3188 N Windsong Drive
Suite A
Prescott Valley, AZ 86314
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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