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HV073980 UKSM-W MEDICAL PRACTICE ASSOCIATION (Active)
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Main Details
Name
UKSM-W MEDICAL PRACTICE ASSOCIATION
Subdivision Name
Type
Ryan White Part C
340B ID
HV073980
Grant Number
H76HA00142
Additional Details
Current Program Status
Active
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
3/9/2004
Last Recertification Date
2/13/2025
Time Period the Assistance was Received
1/1/2025 - 12/31/2027
Contacts
Authorizing Official
UKSM-W Medical Practice Association
Aaron Ryan, ADMINISTRATOR
(316) 293-3526
Primary Contact
UKSMW Medical Practice Association
Stephen Huffman, Senior Accountant
(316) 293-1885
Addresses
Street Address
1010 N. KANSAS
WICHITA, KS 67214
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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12/16/10 SUB-DIV NAME CHANGE (WAS WMPA)
12/16/2010
May 2025
May 2025
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