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RWI77004 AIDS Healthcare Foundation (Terminated)
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Main Details
Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - Houston Wellness
Type
Ryan White Part A
340B ID
RWI77004
Grant Number
H89HA00004
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2019
Participating Start Date
1/1/2020
Participating Approval Date
12/9/2019
Last Recertification Date
2/15/2023
Time Period the Assistance was Received
3/1/2023 - 2/28/2024
Termination Date
Termination Reason
4/1/2024
Failure to recertify
Contacts
Authorizing Official
AIDS Healthcare Foundation
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Primary Contact
AIDS Healthcare Foundation
Barry Altstaedter, Director of Pharmacy Finance
(631) 870-5169
Addresses
Street Address
1435 Westheimer Rd.
Houston, TX 77006
Billing Address
AIDS Healthcare Foundation
6255 W. Sunset Blvd.
21st Floor
Los Angeles, CA 90028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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