340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RWI48201B Matrix Human Services (Terminated)
Print
Main Details
Name
Matrix Human Services
Subdivision Name
William Beaumont Hospital site
Type
Ryan White Part A
340B ID
RWI48201B
Grant Number
H89HA00021
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/17/2015
Last Recertification Date
2/5/2019
Time Period the Assistance was Received
Termination Date
Termination Reason
1/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Matrix Human Services
David Perkins, Vice President of Health Care Services
(248) 819-0489
Primary Contact
Matrix Human Services
Kari Jespersen, CFO
(248) 821-1074
Addresses
Street Address
3601 W. Thirteen Mile Road
Royal Oak, MI 48073-6769
Billing Address
Matrix Human Services
120 Parsons Street
Detroit, MI 48201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session