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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
RWI23669A LGBT Life Center (Active)
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Main Details
Name
LGBT Life Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI23669A
Grant Number
H89HA00053
Additional Details
Current Program Status
Active
Registration Date
10/29/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/31/2023
Last Recertification Date
2/21/2025
Time Period the Assistance was Received
3/1/2000 - 2/27/2026
Contacts
Authorizing Official
LGBT Life Center
Stacie Walls-Beegle, CEO
(757) 640-0929 Ext: 215
Primary Contact
LGBT Life Center
Lindsay Taylor, Director of Data & Compliance
(757) 640-0929 Ext: 360
Addresses
Street Address
20 Settlers Landing Road
Hampton, VA 23669
Billing Address
LGBT Life Center
222 W. 21st Street F-308
Norfolk, VA 23517
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: 10/1/2018) until terminated effective date: (04/1/2023), reinstatement effective date: (01/1/2024)
10/31/2023
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