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RWII02657 Provincetown AIDS Support Group d.b.a. AIDS Support Group of Cape Cod (Active)
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Main Details
Name
Provincetown AIDS Support Group d.b.a. AIDS Support Group of Cape Cod
Subdivision Name
Type
Ryan White Part B
340B ID
RWII02657
Grant Number
X07HA00082
Additional Details
Current Program Status
Active
Registration Date
1/6/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/22/2015
Last Recertification Date
2/28/2025
Time Period the Assistance was Received
11/1/2017 - 6/30/2026
Contacts
Authorizing Official
AIDS Support Group of Cape Cod
Heather Murphy, Chief Programs Officer
(413) 237-5296
Primary Contact
AIDS Support Group of Cape Cod
Dan Gates, CEO
(508) 487-9445
Addresses
Street Address
96-98 Bradford Street
Provincetown, MA 02657
Billing Address
AIDS Support Group of Cape Cod, Inc.
P.O. 1522
Provincetown, MA 02657
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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