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RWI76104A Tarrant County Public Health (Terminated)
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Main Details
Name
Tarrant County Public Health
Subdivision Name
Preventive Medical Clinic
Type
Ryan White Part A
340B ID
RWI76104A
Grant Number
H89HA00047
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/26/2017
Last Recertification Date
2/14/2023
Time Period the Assistance was Received
3/1/2023 - 2/28/2024
Termination Date
Termination Reason
4/1/2024
Failure to recertify
Contacts
Authorizing Official
Tarrant County
Catherine Andler, Associate Director-Fiscal Management
(817) 321-5308
Primary Contact
Tarrant County
Antonio Anguiano, Financial Portfolio Coordinator
(817) 321-5335
Addresses
Street Address
2596 E. Arkansas Lane
Arlington, TX 76104
Billing Address
Tarrant County
100 E. Weatherford
Room 506
Fort Worth, TX 76196
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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