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RW424791 Central Carolina Health Network (Active)
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Main Details
Name
Central Carolina Health Network
Subdivision Name
Type
Ryan White Part D
340B ID
RW424791
Grant Number
H12HA24791
Additional Details
Current Program Status
Active
Registration Date
1/7/2014
Participating Start Date
4/1/2015
Participating Approval Date
1/23/2014
Last Recertification Date
2/20/2025
Time Period the Assistance was Received
8/1/2017 - 7/31/2025
Contacts
Authorizing Official
Central Carolina Health Network
Melissa Coley, President & CEO
(336) 292-0665
Primary Contact
Central Carolina Health Network
Michelle A Evans, Insurance Specialist
(336) 292-0665
Addresses
Street Address
1 Centerview Drive
Suite 202
Greensboro, NC 27407
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/13/15 participating 4/1/2014 thru 6/30/14, not participating 7/1/2014 thru 3/31/14 due to voluntary withdrawal/business decision, reinstated effective 4/1/15 based on on-line registration submitted in Jan. 2015
03/13/2015
April 2025
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