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FP840605 PLANNED PARENTHOOD ASSOC. OF UTAH (Terminated)
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Main Details
Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
Wasatch Clinic
Type
Family Planning (Title X only)
340B ID
FP840605
Grant Number
FPHPA080562
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
6/25/2004
Last Recertification Date
4/27/2017
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Planned Parenthood Association of Utah
Lesley Bailey, CFO
(801) 532-1586
Primary Contact
Planned Parenthood Association of Utah
Lesley Bailey, CFO
(801) 532-1586
Addresses
Street Address
728 West 100 South, Ste. 1
Heber, UT 84032
Billing Address
Planned Parenthood Association of Utah
654 S 900 E
SLC, UT 84102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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