| Details | Last Recertification Date | Update | Recertification | 5/16/2024 3:13:33 PM | 5/5/2025 11:22:19 AM | 5/5/2025 11:22 AM |
| Details | Nature of Support: Support Received From Date | Update | Change Request | 1/1/2020 12:00:00 AM | 1/1/2025 12:00:00 AM | 5/1/2025 3:03 PM |
| Details | NOFO Number | Update | Change Request | CDC-RFA-PS20-2001 | CDC-RFA-PS-25-0003 | 5/1/2025 3:03 PM |
| Details | Nature of Support: Support Received To Date | Update | Change Request | 12/31/2024 12:00:00 AM | 12/31/2029 12:00:00 AM | 3/18/2025 8:57 AM |
| Details | Grant Number | Update | Change Request | 5 NU52PS910218-05-02 | 1NU52PS910292-01-00 | 3/18/2025 8:57 AM |
| Details | Last Recertification Date | Update | Recertification | 5/11/2023 10:42:56 AM | 5/16/2024 3:13:33 PM | 5/16/2024 3:13 PM |
| Details | Grant Number | Update | Recertification | 5 NU52PS910218-04-00 | 5 NU52PS910218-05-02 | 5/16/2024 3:13 PM |
| Details | Last Recertification Date | Update | Recertification | 5/11/2022 8:20:36 AM | 5/11/2023 10:42:56 AM | 5/11/2023 10:42 AM |
| Details | Grant Number | Update | Recertification | 5 NU52PS910218-03-00 | 5 NU52PS910218-04-00 | 5/11/2023 10:42 AM |
| Details | NOFO Number | Update | Recertification | PS20-2001 | CDC-RFA-PS20-2001 | 5/11/2023 10:42 AM |
| Details | Last Recertification Date | Update | Recertification | 5/4/2021 2:44:17 PM | 5/11/2022 8:20:36 AM | 5/11/2022 8:20 AM |
| Details | Grant Number | Update | Recertification | 5NU52PS910218-02-00 | 5 NU52PS910218-03-00 | 5/11/2022 8:20 AM |
| Details | Nature of Support: Support Received From Date | Update | Recertification | | 1/1/2020 12:00:00 AM | 5/4/2021 2:44 PM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | | 12/31/2024 12:00:00 AM | 5/4/2021 2:44 PM |
| Medicaid Billing | NPI: Number | Insert | Recertification | | 1023172228 | 5/4/2021 2:44 PM |
| Medicaid Billing | NPI: State | Insert | Recertification | | NC | 5/4/2021 2:44 PM |
| Medicaid Billing | NPI: Number | Delete | Recertification | 1023172228 ( ) | | 5/4/2021 2:44 PM |
| Details | Last Recertification Date | Update | Recertification | 5/4/2020 7:17:24 AM | 5/4/2021 2:44:17 PM | 5/4/2021 2:44 PM |
| Details | Grant Number | Update | Recertification | 1NU52PS910218-01 | 5NU52PS910218-02-00 | 5/4/2021 2:44 PM |
| Details | NOFO Number | Update | Recertification | | PS20-2001 | 5/4/2021 2:44 PM |
| Details | Last Recertification Date | Update | Recertification | 5/14/2019 3:55:46 PM | 5/4/2020 7:17:24 AM | 5/4/2020 7:17 AM |
| Details | Grant Number | Update | Recertification | 5NU52PS004698-05 | 1NU52PS910218-01 | 5/4/2020 7:17 AM |
| Details | Grant Number | Update | Change Request | 1U52PS004698-02 | 5NU52PS004698-05 | 3/26/2020 7:02 AM |
| Contacts | Primary Contact | Update | Change Request | Marr, Candace
Dirctor of Nursing
Cherokee County Health Department
8288358743 | Marr, Candace Williams
RN, Director of Nursing
Cherokee County Health Department
8288377486 | 7/25/2019 7:52 AM |
| Contacts | Primary Contact | Update | Profile Change Request | Baldwin, Candace
Dirctor of Nursing
Cherokee County Health Department
8288358743 | Marr, Candace
Dirctor of Nursing
Cherokee County Health Department
8288358743 | 5/31/2019 1:49 PM |
| Details | Last Recertification Date | Update | Recertification | 4/26/2018 9:46:16 AM | 5/14/2019 3:55:46 PM | 5/14/2019 3:55 PM |
| Medicaid Billing | Medicaid: Is Primary | Insert | Change Request | | False | 4/26/2018 11:10 AM |
| Medicaid Billing | Medicaid: Number | Insert | Change Request | | 3404320 | 4/26/2018 11:10 AM |
| Medicaid Billing | Medicaid: State | Insert | Change Request | | NC | 4/26/2018 11:10 AM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1023172228 | 4/26/2018 11:10 AM |
| Contacts | Primary Contact | Update | Profile Change Request | Baldwin, Candace
Dirctor of Nursing
Cherokee County Health Department
8288358743-505 | Baldwin, Candace
Dirctor of Nursing
Cherokee County Health Department
8288358743 | 4/26/2018 10:19 AM |
| Details | Last Recertification Date | Update | Recertification | 5/17/2017 12:00:00 AM | 4/26/2018 9:46:16 AM | 4/26/2018 9:46 AM |
| Contacts | Primary Contact | Update | Recertification | Baldwin, Candace
Dirctor of Nursing
8288358743-505 | Baldwin, Candace
Dirctor of Nursing
Cherokee County Health Department
8288358743-505 | 4/26/2018 9:43 AM |
| Contacts | Authorizing Official | Update | | Badger, David
Health Director
8288377486-501 | Badger, David
Health Director
Cherokee County Health Department
8288377486-501 | 4/26/2018 9:37 AM |
| Contacts | Authorizing Official | Insert | | | Badger, David
Health Director
8288377486-501 | 7/27/2017 5:31 PM |
| Addresses | Main Address | Insert | | |
228 HILTON STREET
MURPHY, NC 28906 | 5/17/2017 8:06 AM |
| Addresses | Billing Address | Insert | | | COMMUNICABLE DISEASE BRANCH - FIELD DEVELOPMENT UNIT
1200 FRONT ST
SUITE 104
RALEIGH, NC 27609 | 5/17/2017 8:06 AM |
| Contacts | Primary Contact | Update | | Long, Amanda
Communicable Disease Nurse
8288377486 | Baldwin, Candace
Dirctor of Nursing
8288358743-505 | 5/17/2017 8:06 AM |
| Details | Last Recertification Date | Update | | 3/2/2016 12:00:00 AM | 5/17/2017 12:00:00 AM | 5/17/2017 8:05 AM |
| Details | Grant Number | Update | | TB-NC | 1U52PS004698-02 | 3/15/2016 10:02 AM |
| Details | Last Recertification Date | Update | | 2/16/2015 12:00:00 AM | 3/2/2016 12:00:00 AM | 3/2/2016 1:39 PM |
| Details | Nature Of Support | Insert | | | Direct Funding (dollars received from CDC or an intermediate organization) | 2/16/2015 10:23 PM |
| Details | Last Recertification Date | Update | | 2/11/2014 12:00:00 AM | 2/16/2015 12:00:00 AM | 2/16/2015 10:23 PM |
| Details | Last Recertification Date | Update | | 1/1/2012 12:00:00 AM | 2/11/2014 12:00:00 AM | 2/11/2014 9:22 PM |
| Contacts | Primary Contact | Update | | EWING, ASHLEY
TB HEALTH EDUCATOR
9197337286-102 | Long, Amanda
Communicable Disease Nurse
8288377486 | 9/3/2013 11:15 AM |
| Details | Comments Public | Insert | | | 09/03/2013 AO and/or PC updated, this per the arrangement between OPA and the N.C. Department of Health and Human Services | 9/3/2013 11:15 AM |
| Details | Last Recertification Date | Update | | 1/1/2011 12:00:00 AM | 1/1/2012 12:00:00 AM | 11/15/2011 5:10 PM |
| Contacts | Primary Contact | Insert | | | EWING, ASHLEY
TB HEALTH EDUCATOR
9197337286-102 | 11/4/2010 4:18 PM |
| Details | Last Recertification Date | Insert | | | 1/1/2011 12:00:00 AM | 11/4/2010 4:18 PM |
| Details | Grant Number | Insert | | | TB-NC | 11/4/2010 4:18 PM |
| Details | 340B ID | Insert | | | TB28906 | 11/4/2010 4:18 PM |
| Details | Is Authorizing Official EHB Data | Insert | | | | 11/4/2010 4:18 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 11/4/2010 4:18 PM |
| Details | Medicare Provider Number | Insert | | | | 11/4/2010 4:18 PM |
| Details | Entity Name | Insert | | | CHEROKEE COUNTY HEALTH DEPARTMENT | 11/4/2010 4:18 PM |
| Details | Program Code | Insert | | | TB | 11/4/2010 4:18 PM |
| Details | Entity Subname | Insert | | | | 11/4/2010 4:18 PM |
| Dates | Participating Approval Date | Insert | | | 12/1/2008 12:00:00 AM | 11/4/2010 4:18 PM |
| Details | State | Insert | | | Active | 11/4/2010 4:18 PM |
| Dates | Registration Date | Insert | | | 11/24/2008 12:00:00 AM | 11/4/2010 4:18 PM |
| Dates | Signed By Date | Insert | | | 1/1/2011 12:00:00 AM | 11/4/2010 4:18 PM |
| Dates | Start Date | Insert | | | 1/1/2009 12:00:00 AM | 11/4/2010 4:18 PM |
| Terminations | Termination Comments | Insert | | | | 11/4/2010 4:18 PM |
| Terminations | Termination Date | Insert | | | | 11/4/2010 4:18 PM |
| Terminations | Termination Effective Date | Insert | | | | 11/4/2010 4:18 PM |
| Terminations | Termination Reason | Insert | | | | 11/4/2010 4:18 PM |