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RWII13905 Southern Tier AIDS Program, Inc. (Terminated)
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Main Details
Name
Southern Tier AIDS Program, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII13905
Grant Number
X07HA00025
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/27/2018
Last Recertification Date
2/3/2022
Time Period the Assistance was Received
4/1/2020 - 3/31/2021
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
Southern Tier AIDS Program, Inc.
John Barry, Executive Director
(607) 798-1706 Ext: 113
Primary Contact
Southern Tier AIDS Program, Inc.
Michelle Lynn McElroy, Director of Special Projects
(607) 272-4098 Ext: 317
Addresses
Street Address
22 Riverside Drive
Binghamton, NY 13905
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date (10/01/2017) until terminated effective date (4/1/2018), reinstatement date effective date (07/01/2018)
04/27/2018
04/23/18 Participating from effective date (7/14/2017) until terminated effective date (4/1/2018), reinstatement date effective date (July 01, 2018)
04/23/2018
April 2025
April 2025
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