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RWII92614 AIDS Services Foundation Orange County dba Radiant Health Centers (Terminated)
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Main Details
Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
Type
Ryan White Part B
340B ID
RWII92614
Grant Number
X07HA12778
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/18/2018
Last Recertification Date
1/29/2020
Time Period the Assistance was Received
Termination Date
Termination Reason
7/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
AIDS Services Foundation Orange County dba Radiant Health Centers
Daniel Bryan Seargeant, CFO
(949) 809-5700
Primary Contact
AIDS Services Foundation Orange County dba Radiant Health Centers
Brandi Tatman, Project Manager
(949) 809-5723
Addresses
Street Address
17982 Sky Park Circle
Suite J
Irvine, CA 92614-6482
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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