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HM39110 Mississippi Center for Advanced Medicine, PC (Terminated)
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Main Details
Name
Mississippi Center for Advanced Medicine, PC
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM39110
Grant Number
5 H30MC24046-12-00
Additional Details
Current Program Status
Terminated
Registration Date
7/3/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/6/2018
Last Recertification Date
2/21/2024
Termination Date
Termination Reason
7/1/2024
Loss of qualifying grant/support
Contacts
Authorizing Official
Mississippi Center for Advanced Medicine
Spencer Sullivan, President
(601) 499-0935
Primary Contact
Mississippi Center for Advanced Medicine
Kayla Douglas, Director of Pharmacy
(601) 499-0935
Addresses
Street Address
7730 Old Canton Road
Bldg B
Madison, MS 39110
Billing Address
Mississippi Center for Advanced Medicine
7731 Old Canton Road
Ste B
Madison, MS 39110
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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