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FQHCLA376B AIDS Action Coalition of Huntsville (Terminated)
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Main Details
Name
AIDS Action Coalition of Huntsville
Subdivision Name
Thrive Alabama
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-024915
340B ID
FQHCLA376B
Grant Number
LALCS32230
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/4/2019
Last Recertification Date
Termination Date
Termination Reason
4/1/2020
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Thrive Alabama
Mary Elizabeth Marr, CEO
(256) 337-8283
Primary Contact
AIDS Action Coalition of Huntsville, Inc
Stephanie Harville, CFO
(256) 715-4249
Addresses
Street Address
600 St. Clair Ave, Building 9 STE 23
Huntsville, AL 35801-5057
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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