340B Drug Pricing Program Database

Name

ST. JOSEPH'S MERCY CARE SERVICES

Subdivision Name

MERCY MOBILE HEALTH PROGRAM

Type

Ryan White Part C

340B ID

HV042010

Grant Number

H76HA00090

Current Program Status

Terminated

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

6/17/2005

Last Recertification Date

2/15/2022

Time Period the Assistance was Received

1/1/2018 - 12/31/2021

Termination Date
Termination Reason

4/1/2023
Failure to recertify

Authorizing Official

Mercy Care
Damien Cabezas, President
(678) 843-8654

Primary Contact

Saint Joseph's Mercy Care
Catherine Christie, Chief Medical Officer
(678) 843-8571

Street Address

424 DECATUR STREET
ATLANTA, GA 30312

Billing Address
Same as Street Address