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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
RWII354011D West Alabama AIDS Outreach (Active)
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Main Details
Name
West Alabama AIDS Outreach
Subdivision Name
Five Horizons Health Services - Dothan
Type
Ryan White Part B
340B ID
RWII354011D
Grant Number
X07HA00049
Additional Details
Current Program Status
Active
Registration Date
3/10/2023
Participating Start Date
3/13/2023
Participating Approval Date
3/13/2023
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2025 - 3/31/2026
Contacts
Authorizing Official
West Alabama AIDS Outreach dba Five Horizons Health Services
Will Rainer, Chief Compliance Officer
(659) 734-2319
Primary Contact
West Alabama AIDS Outreach dba Five Horizons Health Services
Nicole Vazquez, 340B Program Manager
(659) 284-2371
Addresses
Street Address
1891 Honeysuckle Road
Suite 2
Dothan, AL 36305
Billing Address
West Alabama AIDS Outreach dba Five Horizons Health Services
2715 7th Street
Tuscaloosa, AL 35401
Comments
Medicaid Billing
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