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Medicaid entitlement for AMERICAN SAMOA -FY 2005 3 Quarter - T21

Award Number: AS20053-T21
ORGANIZATION: CENTERS FOR MEDICARE & MEDICAID SERVICES, MEDICAID - BUDGET AND GRANTS BRANCH
OPDIV: CMS
AWARD CLASS: OPEN-ENDED
AWARD ACTIVITY TYPE: MEDICAID
PERIOD OF PERFORMANCE START DATE: 04/01/2005
PERIOD OF PERFORMANCE END DATE: 06/30/2005

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Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2005 ( Subtotal = $510,300 )
2005	2005	AS DEPARTMENT OF HEALTH	LBJ TROPICAL MEDICAL CENTER	PAGO PAGO	AS	96799	AMERICAN SAMOA	USA	Children's Health Insurance Program	0	1	6/16/2005	NEW	$510,300
														Subtotal = $510,300

Grand Total All Awards = $510,300

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