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RWI89102 Horizon Ridge Clinic LLC (Terminated)
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Main Details
Name
Horizon Ridge Clinic LLC
Subdivision Name
Type
Ryan White Part A
340B ID
RWI89102
Grant Number
H89HA06900
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/18/2018
Last Recertification Date
2/2/2022
Time Period the Assistance was Received
2/2/2022 - 2/28/2023
Termination Date
Termination Reason
1/1/2023
Loss of qualifying grant/support
Contacts
Authorizing Official
Horizon Ridge Clinic LLC
Bruce Eddins, Chief Administrator
(702) 489-2889 Ext: 102
Primary Contact
Horizon Ridge Clinic LLC
Matilde Zayas, Clinical Supervisor
(702) 489-2889
Addresses
Street Address
1670 E Flamingo Road
Suite A
Las Vegas, NV 89119
Billing Address
Horizon Ridge Clinic LLC
1829 Capilano Lane
North Las Vegas, NV 89031
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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