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CHC330723-02 University of Wyoming (Active)
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Main Details
Name
University of Wyoming
Subdivision Name
Albany Community Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037249
340B ID
CHC330723-02
Grant Number
H80CS30723
Additional Details
Current Program Status
Active
Registration Date
5/29/2019
Participating Start Date
7/1/2019
Participating Approval Date
6/4/2019
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
University of Wyoming
Farrell J Rapp, Director Research Services
(307) 766-5320
Primary Contact
University of Wyoming
Jonnie M Jenkins, CFO
(307) 766-3010
Addresses
Street Address
2710 E. HARNEY STREET STE 202-204
Laramie, WY 82072-5401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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