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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
RWII36105 West Alabama AIDS Outreach (Terminated)
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Main Details
Name
West Alabama AIDS Outreach
Subdivision Name
Five Horizons Health Services - Beacon Center
Type
Ryan White Part B
340B ID
RWII36105
Grant Number
X07HA00049
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/28/2023
Last Recertification Date
1/29/2024
Time Period the Assistance was Received
4/1/2024 - 3/30/2025
Termination Date
Termination Reason
1/1/2025
Business decision by the Covered Entity
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
3091 Gaston Avenue
Unit B
Montgomery, AL 36105
Billing Address
West Alabama AIDS Outreach dba Five Horizons Health Services
2715 7th Street
Tuscaloosa, AL 35401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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