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HV420021 LivWell Community Health Services, Inc. (Active)
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Main Details
Name
LivWell Community Health Services, Inc.
Subdivision Name
Type
Ryan White Part C
340B ID
HV420021
Grant Number
H76HA00208
Additional Details
Current Program Status
Active
Registration Date
10/1/1998
Participating Start Date
10/1/1998
Participating Approval Date
2/5/2010
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
5/1/2024 - 4/30/2025
Contacts
Authorizing Official
LivWell Community Health Services, Inc.
Donna Reeder, Executive Director
(270) 444-8183 Ext: 2107
Primary Contact
LivWell Community Health Services, Inc.
Andrea Leonard, Compliance Director
(270) 444-8183 Ext: 2157
Addresses
Street Address
1903 Broadway Street
PADUCAH, KY 42001
Billing Address
LivWell Community Health Services
442 Metroplex DR STE 400
Nashville, TN 37211-3198
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/31/10 PHYS ADDR CHANGE (WAS 3025 CLAY STREET)
03/31/2010
April 2025
April 2025
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