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RWI946091 Primary Care at Home, INC. (Active)
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Main Details
Name
Primary Care at Home, INC.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI946091
Grant Number
H89HA00018
Additional Details
Current Program Status
Active
Registration Date
4/5/2021
Participating Start Date
5/10/2021
Participating Approval Date
5/5/2021
Last Recertification Date
2/12/2025
Time Period the Assistance was Received
3/1/2021 - 2/28/2026
Contacts
Authorizing Official
Primary Care at Home, INC.
Anh T Nguyen, Board Secretary
(510) 320-2711
Primary Contact
Primary Care at Home, INC.
Nathan H Nguyen, Operations Manager
(408) 439-7907
Addresses
Street Address
400 - 29th Street
Suite 306
Oakland, CA 94609
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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