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HM402021 University of Louisville Physicians, Inc (Terminated)
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Main Details
Name
University of Louisville Physicians, Inc
Subdivision Name
Pediatric Blood and Cancer Disorders
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM402021
Grant Number
H30mc24046
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/21/2014
Last Recertification Date
1/29/2020
Termination Date
Termination Reason
4/1/2020
Other
Contacts
Authorizing Official
University of Louisville Physicians
Vivek Sharma, Hematologist
(502) 562-4246
Primary Contact
University of Louisville
Tracey Gaslin, Hemophilia Nurse Practitioner
(502) 794-4386
Addresses
Street Address
411 E. Chestnut Street
Louisville, KY 40202
Billing Address
Hemophilia Treatment Center
529 S. Jackson Street
416
Louisville, KY 40202
Comments
Medicaid Billing
Shipping Addresses
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April 2025
April 2025
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