340B Drug Pricing Program Database


Sagebrush Health Services (Rejected) - information as of 4/25/2025 12:02:08 AM

Main Details
Sagebrush Health Services
Novella Infusion - Brandford
Sexually Transmitted Diseases
NH25PS005205


In-Kind products or services (see note below; must have been purchased with section 318 funds)
 Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
STI educational resources and technical support.
1/10/2024 - 8/28/2024


Additional Details
Rejected
1/13/2024
PS23-0007

Contacts

Sagebrush Health Services
Jami Dybik, Vice President
(843) 814-5177

Novella
Brandon Skahill, Program Director
(603) 617-3711 Ext: 227

Addresses

163 Cedar Street
Unit 2A
Branford, CT 06405

Sagebrush Health Services
8379 W Sunset Rd
Suite 210
Las Vegas, NV 89113


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdateNew RegistrationPendingRejected5/22/2024 10:07 AM
AddressesMain AddressInsertNew Registration  163 Cedar Street Unit 2A Branford, CT 064055/19/2024 8:45 AM
AddressesBilling AddressInsertNew Registration Sagebrush Health Services 8379 W Sunset Rd Suite 210 Las Vegas, NV 891135/19/2024 8:45 AM
ContactsPrimary ContactUpdateNew RegistrationAbadjiev, Vladimir Controller Sagebrush Health 7025263146Skahill, Brandon Program Director Novella 6036173711-2275/19/2024 8:45 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestDybik, Jami Director Sagebrush Health 8438145177Dybik, Jami Vice President Sagebrush Health Services 84381451775/8/2024 8:41 AM
AddressesMain AddressInsertNew Registration  163 Cedar Street Unit 2A Branford, CT 064052/20/2024 9:42 PM
AddressesBilling AddressInsertNew Registration Sagebrush Health Services 8379 W Sunset Rd Suite 210 Las Vegas, NV 891132/20/2024 9:42 PM
AddressesMain AddressInsertNew Registration  163 Cedar Street Unit 2A Branford, CT 064052/13/2024 6:42 PM
AddressesBilling AddressInsertNew Registration Sagebrush Health Services 8379 W Sunset Rd Suite 210 Las Vegas, NV 891132/13/2024 6:42 PM
DetailsNature Of SupportDeleteNew RegistrationDirect Funding (dollars received from CDC or an intermediate organization) (01/10/2024)-(08/28/2024)  2/13/2024 6:42 PM
AddressesMain AddressInsertNew Registration  163 Cedar Street Unit 2A Branford, CT 064051/13/2024 8:18 PM
AddressesBilling AddressInsertNew Registration Sagebrush Health Services 8379 W Sunset Rd Suite 210 Las Vegas, NV 891131/13/2024 8:18 PM
DetailsNature of Support: In Kind Support DescriptionInsertNew Registration  1/13/2024 8:18 PM
DetailsNature Of SupportInsertNew Registration Direct Funding (dollars received from CDC or an intermediate organization)1/13/2024 8:18 PM
DetailsNature of Support: Support Received From DateInsertNew Registration 1/10/2024 12:00:00 AM1/13/2024 8:18 PM
DetailsNature of Support: Support Received To DateInsertNew Registration 8/28/2024 12:00:00 AM1/13/2024 8:18 PM
DetailsNature of Support: In Kind Support DescriptionInsertNew Registration STI educational resources and technical support.1/13/2024 8:18 PM
DetailsNature Of SupportInsertNew Registration In-Kind products or services (see note below; must have been purchased with section 318 funds)1/13/2024 8:18 PM
DetailsNature of Support: Support Received From DateInsertNew Registration 1/10/2024 12:00:00 AM1/13/2024 8:18 PM
DetailsNature of Support: Support Received To DateInsertNew Registration 8/28/2024 12:00:00 AM1/13/2024 8:18 PM
ContactsAuthorizing OfficialInsertNew Registration Dybik, Jami Director Sagebrush Health 84381451771/13/2024 8:18 PM
ContactsPrimary ContactInsertNew Registration Abadjiev, Vladimir Controller Sagebrush Health 70252631461/13/2024 8:18 PM
DetailsAssistance Received From DateInsertNew Registration  1/13/2024 8:18 PM
DetailsAssistance Received To DateInsertNew Registration  1/13/2024 8:18 PM
DetailsLast Recertification DateInsertNew Registration  1/13/2024 8:18 PM
DetailsGrant NumberInsertNew Registration NH25PS0052051/13/2024 8:18 PM
Details340B IDInsertNew Registration  1/13/2024 8:18 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/13/2024 8:18 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/13/2024 8:18 PM
DetailsMedicare Provider NumberInsertNew Registration  1/13/2024 8:18 PM
DetailsEntity NameInsertNew Registration Sagebrush Health Services1/13/2024 8:18 PM
DetailsNOFO NumberInsertNew Registration PS23-00071/13/2024 8:18 PM
DetailsProgram CodeInsertNew Registration STD1/13/2024 8:18 PM
DetailsEntity SubnameInsertNew Registration Novella Infusion - Brandford1/13/2024 8:18 PM
DatesParticipating Approval DateInsertNew Registration  1/13/2024 8:18 PM
DetailsStateInsertNew Registration Pending1/13/2024 8:18 PM
DatesRegistration DateInsertNew Registration 1/13/2024 8:18:06 PM1/13/2024 8:18 PM
DatesSigned By DateInsertNew Registration  1/13/2024 8:18 PM
DatesStart DateInsertNew Registration  1/13/2024 8:18 PM
TerminationsTermination CommentsInsertNew Registration  1/13/2024 8:18 PM
TerminationsTermination DateInsertNew Registration  1/13/2024 8:18 PM
TerminationsTermination Effective DateInsertNew Registration  1/13/2024 8:18 PM
TerminationsTermination ReasonInsertNew Registration  1/13/2024 8:18 PM