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RWI441151 AIDS Healthcare Foundation (Active)
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Main Details
Name
AIDS Healthcare Foundation
Subdivision Name
AIDS Taskforce of Greater Cleveland
Type
Ryan White Part A
340B ID
RWI441151
Grant Number
H89HA23812
Additional Details
Current Program Status
Active
Registration Date
4/10/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/23/2024
Last Recertification Date
2/24/2025
Time Period the Assistance was Received
3/1/2025 - 2/28/2026
Contacts
Authorizing Official
AIDS Healthcare Foundation
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Primary Contact
AIDS Healthcare Foundation
Barry Altstaedter, Director of Pharmacy Finance
(631) 870-5169
Addresses
Street Address
2829 Euclid Avenue
Cleveland, OH 44115
Billing Address
AIDS Healthcare Foundation
6255 W. Sunset Blvd.
21st Floor
Los Angeles, CA 90028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (04/01/2017) until terminated effective date: (04/01/2024); reinstatement effective date: (07/1/2024)
04/19/2024
June 2025
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