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RW424810 Matthew 25 AIDS Services, Inc. (Active)
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Main Details
Name
Matthew 25 AIDS Services, Inc.
Subdivision Name
Type
Ryan White Part D
340B ID
RW424810
Grant Number
H12HA24810
Additional Details
Current Program Status
Active
Registration Date
10/6/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/25/2016
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
8/1/2024 - 7/31/2025
Contacts
Authorizing Official
Matthew 25 AIDS Services, Inc.
Courtney Woolfork, Chief Executive Officer
(270) 826-0200
Primary Contact
Matthew 25 AIDS Services, Inc.
Kelley Gray, 340B and Eligibility Coordinator
(270) 826-0200
Addresses
Street Address
1901 Leitchfield Rd Suite A
Owensboro, KY 42303
Billing Address
Matthew 25 AIDS Services, Inc.
452 Old Corydon Rd
Henderson, KY 42420
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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