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HV02601 CAPE COD HOSPITAL (Active)
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Main Details
Name
CAPE COD HOSPITAL
Subdivision Name
RYAN WHITE PART C OUTPATIENT EIS PROGRAM
Type
Ryan White Part C
340B ID
HV02601
Grant Number
H76HA00764
Additional Details
Current Program Status
Active
Registration Date
10/15/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/8/2019
Last Recertification Date
2/20/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2025
Contacts
Authorizing Official
Cape Cod Hospital - Infectious Disease Clinical Services
Valerie Nicole Al-Hachem, Infectious Disease Director & Grants Administrator
(508) 862-5639
Primary Contact
Cape Cod Healthcare
Kevin Hand, Corporate Controller
(774) 470-5542
Addresses
Street Address
34 PARK STREET
Hyannis, MA 02601-5230
Billing Address
CAPE COD HOSPITAL
27 PARK STREET
HYANNIS, MA 02601
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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