Covered Entity Details

FP843218 PLANNED PARENTHOOD ASSOC. OF UTAH (ToBeTerminated) - information as of 5/20/2025 11:40:28 PM

Main Details

Name

PLANNED PARENTHOOD ASSOC. OF UTAH

Subdivision Name

LOGAN CLINIC

Type

Family Planning (Title X only)

340B ID

FP843218

Grant Number

FPHPA006544

Additional Details

Current Program Status

ToBeTerminated

Registration Date

7/26/2022

Participating Start Date

10/1/2022

Participating Approval Date

7/29/2022

Last Recertification Date

5/13/2024

Termination Date
Termination Reason

7/1/2025
Site closure

Contacts

Authorizing Official

Planned Parenthood Association of UTAH
Lori Gawron, Chief Medical Officer / Surgical Director
(312) 560-6162

Primary Contact

Planned Parenthood Association of Utah
Carol Paglis, PIC
(801) 532-1586

Addresses

Street Address

550 NORTH MAIN #117
LOGAN, UT 84321

Billing Address

PLANNED PARENTHOOD ASSOC. OF UTAH
654 S 900 E
SLC, UT 84102

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
Participating from effective date: (1/1/1998) until terminated effective date: (10/1/2019), reinstatement effective date: (10/1/2022)	07/28/2022

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
UT	870288909	1073549614

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	SMITH MANAGEMENT CORP	DBA SMITH'S PHARMACY #69	1174 WEST 600 NORTH	SALT LAKE CITY	UT	84116	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S DRUG #44	DBA SMITHS FOOD KING #1	876 E 8TH S	SALT LAKE CITY	UT	84102	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S FOOD & DRUG #72	1725 UINTA WAY		PARK CITY	UT	84098	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S FOOD & DRUG CENTERS	DBA: SMITH'S PHARMACY #80	828 SOUTH 900 WEST	SALT LAKE CITY	UT	84104	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S FOOD & DRUG CENTERS	SMITH'S PHARMACY # 85	980 EAST FORT UNION BLVD.	MIDVALE	UT	84047	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S FOOD & DRUG CTR	SMITH'S FOOD & DRUG #144	45 SOUTH STATE	OREM	UT	84057	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S FOOD & DRUG CTRS	SMITH'S FOOD & DRUG #138	1634 WEST SOUTH JORDAN PKWY	SOUTH JORDAN	UT	84095	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S FOOD AND DRUG #189	20 NORTH BLUFF STREET		SAINT GEORGE	UT	84770	01/02/2019	04/01/2019	10/01/2019	10/01/2019
Contract Detail	SMITH'S FOOD AND DRUG CENTERS INC	SMITH'S PHARMACY 82	1080 WEST HIGHWAY 40	VERNAL	UT	84078	07/17/2018	10/01/2018	10/01/2019	10/01/2019
Contract Detail	SMITH'S FOOD KING NO 1	SMITH'S DRUG KING PHARMACY #30	4275 HARRISON BLVD	OGDEN	UT	84403	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S MANAGEMENT CORP	DBA SMITH'S FOOD & DRUG #189	20 NORTH BLUFF ST	ST GEORGE	UT	84770	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S MANAGEMENT CORP DBA	SMITH'S FOOD & DRUG #66	PHARMACY 4065 SOUTH REDWOOD ROAD	SALT LAKE CITY	UT	84123	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITH'S PHARMACY	SMITH'S FOOD & DRUG #42	633 S. MAIN	CEDAR CITY	UT	84720	01/02/2019	04/01/2019	10/01/2019	10/01/2019
Contract Detail	SMITH'S PHARMACY #28	922 E. 2100 S.		SALT LAKE CITY	UT	84106	07/17/2018	10/01/2018	10/01/2019	10/01/2019
Contract Detail	SMITH'S PHARMACY #444	555 S. 200 W.		BOUNTIFUL	UT	84010	01/02/2019	04/01/2019	10/01/2019	10/01/2019
Contract Detail	SMITH'S PHARMACY #477	750 N. MAIN ST.		LOGAN	UT	84321	07/17/2018	10/01/2018	10/01/2019	10/01/2019
Contract Detail	SMITH'S PHARMACY #87	442 N 175 E		LOGAN	UT	84321	06/14/2004	06/14/2004	10/01/2019	10/01/2019
Contract Detail	SMITH'S PHARMACY #94	455 SOUTH 500 EAST		SALT LAKE CITY	UT	84102	10/15/2013	01/01/2014	10/01/2019	10/01/2019
Contract Detail	SMITHS FOOD & DRUG CTR INC	SMITH'S PHARMACY #147	5620 W 4100 SO	WEST VALLEY CITY	UT	84128	01/02/2019	04/01/2019	10/01/2019	10/01/2019
Contract Detail	SMITHS FOOD & DRUG CTRS	SMITH'S PHARMACY #178	156 SOUTH MAIN	BRIGHAM CITY	UT	84302	07/17/2018	10/01/2018	10/01/2019	10/01/2019
Contract Detail	SMITHS FOOD & DRUG CTRS	SMITH'S FOOD DRUG #149	1170 EAST GENTILE	LAYTON	UT	84040	07/17/2018	10/01/2018	10/01/2019	10/01/2019
Contract Detail	SMITHS FOOD & DRUG CTRS	DBA SMITH'S FOOD & DRUG #136	350 NORTH FREEDOM BOULEVARD	PROVO	UT	84601	01/02/2019	04/01/2019	10/01/2019	10/01/2019
Contract Detail	SMITHS FOOD & DRUG CTRS	SMITH'S DRUG KING PHARMACY #75	632 SOUTH 100 WEST	PAYSON	UT	84651	01/02/2019	04/01/2019	10/01/2019	10/01/2019
Contract Detail	SMITHS FOOD & DRUG CTRS	DBA SMITH'S FOOD & DRUG #133	845 EAST 4500 SOUTH	SALT LAKE CITY	UT	84107	01/02/2019	04/01/2019	10/01/2019	10/01/2019

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		4/16/2025 12:00:00 AM	5/7/2025 10:24 AM
Details	State	Update	Recertification	Active	To Be Terminated	5/7/2025 10:24 AM
Terminations	Termination Date	Update	Recertification		7/1/2025 12:00:00 AM	5/7/2025 10:24 AM
Terminations	Termination Effective Date	Update	Recertification		4/30/2025 12:00:00 AM	5/7/2025 10:24 AM
Terminations	Termination Reason	Update	Recertification		Site closure	5/7/2025 10:24 AM
Contacts	Authorizing Official	Update	Group Change Request	Boyd, Kathryn Corrine CEO Planned Parenthood Association of Utah 6787086461	Gawron, Lori Chief Medical Officer / Surgical Director Planned Parenthood Association of UTAH 3125606162	4/7/2025 1:56 PM
Details	Last Recertification Date	Update	Recertification	5/8/2023 11:12:15 AM	5/13/2024 1:12:30 PM	5/13/2024 1:12 PM
Contacts	Authorizing Official	Update	AO Change Request	Bailey, Lesley CFO Planned Parenthood Association of Utah 8015321586	Boyd, Kathryn Corrine CEO Planned Parenthood Association of Utah 6787086461	1/3/2024 2:12 PM
Contacts	Primary Contact	Update	Recertification	Welch, Heather VP, Business Operations Planned Parenthood Association of Utah 8015321586	Paglis, Carol PIC Planned Parenthood Association of Utah 8015321586	5/8/2023 11:12 AM
Details	Last Recertification Date	Update	Recertification		5/8/2023 11:12:15 AM	5/8/2023 11:12 AM
Details	State	Update		Approved	Active	10/1/2022 12:01 AM
Addresses	Main Address	Insert	Reinstatement		550 NORTH MAIN #117 LOGAN, UT 84321	7/29/2022 12:58 PM
Addresses	Billing Address	Insert	Reinstatement		PLANNED PARENTHOOD ASSOC. OF UTAH 654 S 900 E SLC, UT 84102	7/29/2022 12:58 PM
Medicaid Billing	NPI: Number	Insert	Reinstatement		1073549614	7/29/2022 12:58 PM
Medicaid Billing	NPI: State	Insert	Reinstatement		UT	7/29/2022 12:58 PM
Medicaid Billing	NPI: Number	Delete	Reinstatement	1073549614 ( )		7/29/2022 12:58 PM
Contacts	Signed By	Insert	Reinstatement		Bailey, Lesley CFO Planned Parenthood Association of Utah 8015321586	7/29/2022 12:58 PM
Contacts	Primary Contact	Update	Reinstatement	Davies, Penny Salt Lake City Planned Parenthood Association of Utah 5015321586	Welch, Heather VP, Business Operations Planned Parenthood Association of Utah 8015321586	7/29/2022 12:58 PM
Details	Last Recertification Date	Update	Reinstatement	5/13/2019 12:39:07 PM		7/29/2022 12:58 PM
Details	Grant Number	Update	Reinstatement	FPHPA080562	FPHPA006544	7/29/2022 12:58 PM
Dates	Last Date That 340B Drugs Purchased	Update	Reinstatement	8/2/2019 12:00:00 AM		7/29/2022 12:58 PM
Dates	Participating Approval Date	Update	Reinstatement	6/25/2004 12:00:00 AM	7/29/2022 12:58:34 PM	7/29/2022 12:58 PM
Details	State	Update	Reinstatement	Terminated	Approved	7/29/2022 12:58 PM
Dates	Registration Date	Update	Reinstatement	1/1/1998 12:00:00 AM	7/26/2022 3:11:10 PM	7/29/2022 12:58 PM
Dates	Signed By Date	Update	Reinstatement	4/1/2010 12:00:00 AM	7/26/2022 3:11:13 PM	7/29/2022 12:58 PM
Dates	Start Date	Update	Reinstatement	1/1/1998 12:00:00 AM	10/1/2022 12:00:00 AM	7/29/2022 12:58 PM
Terminations	Termination Date	Update	Reinstatement	10/1/2019 12:00:00 AM		7/29/2022 12:58 PM
Terminations	Termination Effective Date	Update	Reinstatement	8/19/2019 12:00:00 AM		7/29/2022 12:58 PM
Terminations	Termination Reason	Update	Reinstatement	Loss of qualifying grant/support		7/29/2022 12:58 PM
Details	Comments Public	Insert	Reinstatement		Participating from effective date: (1/1/1998) until terminated effective date: (10/1/2019), reinstatement effective date: (10/1/2022)	7/28/2022 9:47 AM
Details	State	Update		To Be Terminated	Terminated	10/1/2019 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		8/2/2019 12:00:00 AM	8/21/2019 10:14 AM
Details	State	Update	Termination Request	Active	To Be Terminated	8/21/2019 10:14 AM
Terminations	Termination Date	Update	Termination Request		10/1/2019 12:00:00 AM	8/21/2019 10:14 AM
Terminations	Termination Effective Date	Update	Termination Request		8/19/2019 12:00:00 AM	8/21/2019 10:14 AM
Terminations	Termination Reason	Update	Termination Request		Loss of qualifying grant/support	8/21/2019 10:14 AM
Details	Last Recertification Date	Update	Recertification	4/25/2018 12:58:40 PM	5/13/2019 12:39:07 PM	5/13/2019 12:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	11/5/2018 3:27 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		870288909	11/5/2018 3:27 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		UT	11/5/2018 3:27 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1073549614	11/5/2018 3:27 PM
Details	Last Recertification Date	Update	Recertification	4/26/2017 12:00:00 AM	4/25/2018 12:58:40 PM	4/25/2018 12:58 PM
Contacts	Primary Contact	Update		DAVIES, PENNY DIRECTOR CLINIC SVCS 8015212746	Davies, Penny Salt Lake City Planned Parenthood Association of Utah 5015321586	1/2/2018 10:43 AM
Contacts	Authorizing Official	Update		Bailey, Lesley CFO 8015321586	Bailey, Lesley CFO Planned Parenthood Association of Utah 8015321586	1/2/2018 10:38 AM
Contacts	Authorizing Official	Insert			Bailey, Lesley CFO 8015321586	6/30/2017 10:11 PM
Contacts	Primary Contact	Insert			DAVIES, PENNY DIRECTOR CLINIC SVCS 8015212746	6/30/2017 10:11 PM
Addresses	Main Address	Insert			550 NORTH MAIN #117 LOGAN, UT 84321	4/26/2017 12:47 PM
Details	Last Recertification Date	Update		5/11/2016 12:00:00 AM	4/26/2017 12:00:00 AM	4/26/2017 12:46 PM
Details	Last Recertification Date	Update		5/13/2015 12:00:00 AM	5/11/2016 12:00:00 AM	5/11/2016 11:59 AM
Details	Last Recertification Date	Update		4/25/2014 12:00:00 AM	5/13/2015 12:00:00 AM	5/13/2015 11:51 AM
Details	Last Recertification Date	Update		7/1/2013 12:00:00 AM	4/25/2014 12:00:00 AM	4/25/2014 8:12 AM
Details	Last Recertification Date	Update		4/1/2012 12:00:00 AM	7/1/2013 12:00:00 AM	5/13/2013 11:21 AM
Details	Last Recertification Date	Update		4/1/2010 12:00:00 AM	4/1/2012 12:00:00 AM	3/1/2012 8:55 AM
Addresses	Billing Address	Insert			PLANNED PARENTHOOD ASSOC. OF UTAH 654 S 900 E SLC, UT 84102	2/16/2010 2:29 PM
Details	Last Recertification Date	Insert			4/1/2010 12:00:00 AM	2/16/2010 2:29 PM
Details	Grant Number	Insert			FPHPA080562	2/16/2010 2:29 PM
Details	340B ID	Insert			FP843218	2/16/2010 2:29 PM
Details	Is Authorizing Official EHB Data	Insert				2/16/2010 2:29 PM
Dates	Last Date That 340B Drugs Purchased	Insert				2/16/2010 2:29 PM
Details	Medicare Provider Number	Insert				2/16/2010 2:29 PM
Details	Entity Name	Insert			PLANNED PARENTHOOD ASSOC. OF UTAH	2/16/2010 2:29 PM
Details	Program Code	Insert			FP	2/16/2010 2:29 PM
Details	Entity Subname	Insert			LOGAN CLINIC	2/16/2010 2:29 PM
Dates	Participating Approval Date	Insert			6/25/2004 12:00:00 AM	2/16/2010 2:29 PM
Details	State	Insert			Active	2/16/2010 2:29 PM
Dates	Registration Date	Insert			1/1/1998 12:00:00 AM	2/16/2010 2:29 PM
Dates	Signed By Date	Insert			4/1/2010 12:00:00 AM	2/16/2010 2:29 PM
Dates	Start Date	Insert			1/1/1998 12:00:00 AM	2/16/2010 2:29 PM
Terminations	Termination Comments	Insert				2/16/2010 2:29 PM
Terminations	Termination Date	Insert				2/16/2010 2:29 PM
Terminations	Termination Effective Date	Insert				2/16/2010 2:29 PM
Terminations	Termination Reason	Insert				2/16/2010 2:29 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History