Covered Entity Details

RWII302461 Positive Impact Health Centers, Inc (Terminated)

Main Details

Name

Positive Impact Health Centers, Inc

Subdivision Name

Type

Ryan White Part B

340B ID

RWII302461

Grant Number

X07HA22709

Additional Details

Current Program Status

Terminated

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

6/7/2005

Last Recertification Date

2/6/2024

Time Period the Assistance was Received

4/1/2024 - 3/31/2025

Termination Date
Termination Reason

1/1/2025
Never implemented the 340B Program

Contacts

Authorizing Official

Positive Impact Health Centers
Larry M. Lehman, CEO
(678) 990-6450 Ext: 450

Primary Contact

Positive Impact Health Centers
Melanie Lin Rudisill, 340B Program Manager
(404) 977-5256

Addresses

Street Address

3350 Breckenridge Blvd.
STE 200
DULUTH, GA 30096-7612

Billing Address
Same as Street Address

Comment	Last Updated On
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9/30/11 addr change (was 2570 RIVERSIDE PARKWAY, PO BOX 897 LAWRENCEVILLE zip 30046); 6/5/09 ADDR CHANGE (WAS 324 WEST PIKE ST); 5/2006 UPDATED 340B_ID, FORMERLY (RW302461); 6/11/2006 ENT NAME CHANGE (WAS AIDGWINNETT), UPDATED ADDR(WAS 3075 BRECKINRIDGE BLVD, SUITE 415, DULUTH, 30096-4981); 8/2006 UPDATED ADDRESS FROM W PIKE STREET; 6/8/07 ADDR CHANGE (WAS 2570 RIVERSIDE PARKWAY, ZIP 30045)	09/30/2011
6/5/09 ADDR CHANGE (WAS 324 WEST PIKE ST); 5/2006 UPDATED 340B_ID, FORMERLY (RW302461); 6/11/2006 ENT NAME CHANGE (WAS AIDGWINNETT), UPDATED ADDR(WAS 3075 BRECKINRIDGE BLVD, SUITE 415, DULUTH, 30096-4981); 8/2006 UPDATED ADDRESS FROM W PIKE STREET; 6/8/07 ADDR CHANGE (WAS 2570 RIVERSIDE PARKWAY, ZIP 30045)	08/05/2010

340B Drug Pricing Program Database