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CHC26605-01 NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES (Terminated)
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Main Details
Name
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Subdivision Name
Northern Nevada HIV Outpatient Program Education and Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013134
340B ID
CHC26605-01
Grant Number
H80CS26605
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/10/2018
Last Recertification Date
Termination Date
Termination Reason
4/1/2018
Other
Contacts
Authorizing Official
Northern Nevada HIV Outpatient Program Education and Services
Jessica Lance, Chief Financial Officer
(775) 348-2882
Primary Contact
Northern Nevada Hopes
Mark Ryan Crumby, Pharmacy Director
(775) 348-1306
Addresses
Street Address
580 W 5th St
Reno, NV 89503-4407
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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