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RWI191043 Children's Hospital of Philadelphia (Active)
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Main Details
Name
Children's Hospital of Philadelphia
Subdivision Name
Adolescent Initiative
Type
Ryan White Part A
340B ID
RWI191043
Grant Number
H89HA00013
Additional Details
Current Program Status
Active
Registration Date
4/15/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/20/2015
Last Recertification Date
2/19/2025
Time Period the Assistance was Received
3/1/2025 - 2/28/2026
Contacts
Authorizing Official
Children's Hospital of Philadelphia
Jan Pieter Boswinkel, Senior Vice President & Chief Operating Officer, Hospital Operations
(215) 590-3055
Primary Contact
Children's Hospital of Philadelphia
Jennifer Goldberg, Program Manager
(215) 590-0702
Addresses
Street Address
3550 Market St.
Room 3071
Philadelphia, PA 19104
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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