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RWI28212 Carolinas CARE Partnership (Terminated)
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Main Details
Name
Carolinas CARE Partnership
Subdivision Name
Medical Case Management
Type
Ryan White Part A
340B ID
RWI28212
Grant Number
H89HA11434
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/27/2018
Last Recertification Date
1/31/2022
Time Period the Assistance was Received
3/1/2019 - 2/28/2022
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
Carolinas CARE Partnership
Shannon Warren, Executive Director
(704) 496-9581
Primary Contact
Carolinas CARE Partnership
Aleida Espinal, Medical Case Manager
(704) 496-9587
Addresses
Street Address
5855 Executive Center Drive
Suite 200
Charlotte, NC 28212
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date (10/01/2016) until terminated effective date (4/1/2018), reinstatement date effective date (07/01/2018)
04/27/2018
Participating from effective date (7/22/2016) until terminated effective date (4/1/2018), reinstatement date effective date (07/01/2018)
04/12/2018
May 2025
May 2025
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