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HV358011 AIDS ACTION COALITION/DAVIS CLINIC (Terminated)
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Main Details
Name
AIDS ACTION COALITION/DAVIS CLINIC
Subdivision Name
Type
Ryan White Part C
340B ID
HV358011
Grant Number
H76HA00624
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2001
Participating Start Date
4/1/2001
Participating Approval Date
5/19/2011
Last Recertification Date
1/30/2019
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Thrive Alabama
Mary Elizabeth Marr, CEO
(256) 337-8283
Primary Contact
AIDS Action Coalition
Kimberly Rucker, CCO
(256) 445-5837 Ext: 297
Addresses
Street Address
600 ST CLAIR BLDG 3
HUNTSVILLE, AL 35801
Billing Address
AIDS ACTION COALITION/DAVIS CLINIC
PO BOX 2409
HUNTSVILLE, AL 35804
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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5/19/11 UPDATED BILL TO (WAS PO BOX 871); 5/30/07 MOVED PO BOX INFO TO BILL TO ADDR
05/19/2011
April 2025
April 2025
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