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RWII78752 Vivent Health Texas, Inc. (Active)
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Main Details
Name
Vivent Health Texas, Inc.
Subdivision Name
AIDS Services of Austin
Type
Ryan White Part B
340B ID
RWII78752
Grant Number
X07HA00054
Additional Details
Current Program Status
Active
Registration Date
1/8/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/12/2018
Last Recertification Date
2/23/2025
Time Period the Assistance was Received
4/1/2024 - 3/31/2026
Contacts
Authorizing Official
Vivent Health
Timothy Denis Dyer, Executive Vice President & CFO
(414) 225-1542
Primary Contact
Vivent Health
Daniel Guinn, VP Compliance & General Counsel
(608) 316-8602
Addresses
Street Address
104 E Highland Mall Blvd
Suite 100
Austin, TX 78752
Billing Address
Vivent Health
1311 N 6th Street
Milwaukee, WI 53212
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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