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RWI94925 The Spahr Center (Terminated)
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Main Details
Name
The Spahr Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI94925
Grant Number
H89HA00006
Additional Details
Current Program Status
Terminated
Registration Date
10/5/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/30/2023
Last Recertification Date
1/29/2024
Time Period the Assistance was Received
3/1/2023 - 2/29/2024
Termination Date
Termination Reason
4/1/2025
Failure to recertify
Contacts
Authorizing Official
The Spahr Center
Joe Tuohy, Executive Director
(415) 886-8551
Primary Contact
The Spahr Center
Violet Zaragoza, Operations Manager
(415) 886-8556
Addresses
Street Address
1575 Francisco Blvd E
Corte Madera, CA 94901
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participated starting- 7/1/2020 Terminated starting- 4/1/2023 Reinstated- 1/1/2024
11/29/2023
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