Covered Entity Details

RWII32401 Florida Department of Health- Bay County (Active) - information as of 4/29/2025 1:42:48 AM

Main Details

Name

Florida Department of Health- Bay County

Subdivision Name

Type

Ryan White Part B

340B ID

RWII32401

Grant Number

X07HA00057

Additional Details

Current Program Status

Active

Registration Date

7/14/2017

Participating Start Date

10/1/2017

Participating Approval Date

7/26/2017

Last Recertification Date

2/24/2025

Time Period the Assistance was Received

4/1/2022 - 3/31/2027

Contacts

Authorizing Official

FL Department of Health in Bay County
Sandon S. Speedling, CHD ADMINISTRATOR
(850) 596-2938

Primary Contact

Florida Department of Health in Bay County
Miranda Fenot, HIV/AIDS Supervisor
(850) 252-9596

Addresses

Street Address

597 west 11th St
Panama City, FL 32401

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	07/26/2017	10/01/2017			10/01/2017

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/6/2024 2:00:41 PM	2/24/2025 10:12:51 AM	2/24/2025 10:12 AM
Contacts	Primary Contact	Update	Change Request	Walsh, Victor FINANCIAL ADMINISTRATOR FDOH Bay 8502529643	Fenot, Miranda HIV/AIDS Supervisor Florida Department of Health in Bay County 8502529596	1/24/2025 2:11 PM
Contacts	Primary Contact	Update	Recertification	Bartels, Christine Director of Nursing Florida Dept of Health 6365241048	Fenot, Miranda Clinic/HIV Supervisor Florida Department of Health in Bay County 8502529596	2/6/2024 2:00 PM
Details	Assistance Received From Date	Update	Recertification	4/1/2017 12:00:00 AM	4/1/2022 12:00:00 AM	2/6/2024 2:00 PM
Details	Assistance Received To Date	Update	Recertification	4/1/2023 12:00:00 AM	3/31/2027 12:00:00 AM	2/6/2024 2:00 PM
Details	Last Recertification Date	Update	Recertification	2/2/2023 10:23:05 AM	2/6/2024 2:00:41 PM	2/6/2024 2:00 PM
Contacts	Primary Contact	Update	PC Change Request	Fenot, Miranda Clinic/HIV Supervisor Florida Department of Health in Bay County 8502529596	Walsh, Victor FINANCIAL ADMINISTRATOR FDOH Bay 8502529643	2/6/2024 2:00 PM
Details	NOFO Number	Update		HRSA-17-036		12/16/2023 10:34 AM
Details	Assistance Received To Date	Update	Recertification	4/1/2022 12:00:00 AM	4/1/2023 12:00:00 AM	2/2/2023 10:23 AM
Details	Last Recertification Date	Update	Recertification	2/4/2022 10:46:27 AM	2/2/2023 10:23:05 AM	2/2/2023 10:23 AM
Contacts	Primary Contact	Update	Recertification	Barron, Kayla Director of Nursing Florida Dept of Health 8506535877	Bartels, Christine Director of Nursing Florida Dept of Health 6365241048	2/4/2022 10:46 AM
Details	Last Recertification Date	Update	Recertification	3/1/2021 12:47:02 PM	2/4/2022 10:46:27 AM	2/4/2022 10:46 AM
Details	Assistance Received From Date	Update	Recertification		4/1/2017 12:00:00 AM	3/1/2021 12:47 PM
Details	Assistance Received To Date	Update	Recertification		4/1/2022 12:00:00 AM	3/1/2021 12:47 PM
Details	Last Recertification Date	Update	Recertification	2/4/2020 10:39:54 AM	3/1/2021 12:47:02 PM	3/1/2021 12:47 PM
Details	NOFO Number	Update	Recertification		HRSA-17-036	3/1/2021 12:47 PM
Contacts	Primary Contact	Update	Recertification	Sharp, Tanya Public Health Services Manager Florida Dept of Health 8502529550	Barron, Kayla Director of Nursing Florida Dept of Health 8506535877	2/4/2020 10:39 AM
Details	Last Recertification Date	Update	Recertification	1/29/2019 12:19:58 PM	2/4/2020 10:39:54 AM	2/4/2020 10:39 AM
Contacts	Primary Contact	Update	Change Request	Vitale, Rick HAPC Florida Department of Health Bay County 8502529590	Sharp, Tanya Public Health Services Manager Florida Dept of Health 8502529550	6/4/2019 10:54 AM
Contacts	Authorizing Official	Update	AO Change Request	Walsh, Victor FINANCIAL ADMINISTRATOR FDOH Bay 8502529643	Speedling, Sandon S. CHD ADMINISTRATOR FL Department of Health in Bay County 8505962938	5/23/2019 2:15 PM
Details	Last Recertification Date	Update	Recertification	3/7/2018 2:18:49 PM	1/29/2019 12:19:58 PM	1/29/2019 12:19 PM
Contacts	Authorizing Official	Update	AO Change Request	Kent, Douglas CHD ADMINISTRATOR Florida Department of Health Bay County 8508724455-1240	Walsh, Victor FINANCIAL ADMINISTRATOR FDOH Bay 8502529643	4/18/2018 8:30 AM
Details	Last Recertification Date	Update	Recertification		3/7/2018 2:18:49 PM	3/7/2018 2:18 PM
Contacts	Authorizing Official	Update	AO Change Request	Tipps, Nancy Clinic Supervisor 8502529592	Kent, Douglas CHD ADMINISTRATOR Florida Department of Health Bay County 8508724455-1240	2/14/2018 7:13 AM
Contacts	Primary Contact	Update		Vitale, Rick HAPC 8502529590	Vitale, Rick HAPC Florida Department of Health Bay County 8502529590	2/8/2018 9:42 AM
Addresses	Main Address	Insert			597 west 11th St Panama City, FL 32401	7/26/2017 2:10 PM
Contacts	Authorizing Official	Insert			Tipps, Nancy Clinic Supervisor 8502529592	7/26/2017 2:10 PM
Contacts	Signed By	Insert			Tipps, Nancy Clinic Supervisor 8502529592	7/26/2017 2:10 PM
Contacts	Primary Contact	Insert			Vitale, Rick HAPC 8502529590	7/26/2017 2:10 PM
Details	State	Update		Approved	Active	7/26/2017 2:10 PM
Dates	Participating Approval Date	Update			7/26/2017 12:00:00 AM	7/26/2017 2:10 PM
Details	State	Update		Pending	Approved	7/26/2017 2:10 PM
Dates	Start Date	Update			10/1/2017 12:00:00 AM	7/26/2017 2:10 PM
Details	340B ID	Update		ONLINE_REG_78572	RWII32401	7/18/2017 7:16 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_78572	7/14/2017 9:49 AM
Details	Last Recertification Date	Insert				7/14/2017 9:49 AM
Details	Grant Number	Insert			X07HA00057	7/14/2017 9:49 AM
Details	340B ID	Insert			ONLINE_REG	7/14/2017 9:49 AM
Details	Is Authorizing Official EHB Data	Insert				7/14/2017 9:49 AM
Dates	Last Date That 340B Drugs Purchased	Insert				7/14/2017 9:49 AM
Details	Medicare Provider Number	Insert				7/14/2017 9:49 AM
Details	Entity Name	Insert			Florida Department of Health- Bay County	7/14/2017 9:49 AM
Details	Program Code	Insert			RWII	7/14/2017 9:49 AM
Details	Entity Subname	Insert				7/14/2017 9:49 AM
Dates	Participating Approval Date	Insert				7/14/2017 9:49 AM
Details	State	Insert			Pending	7/14/2017 9:49 AM
Dates	Registration Date	Insert			7/14/2017 12:00:00 AM	7/14/2017 9:49 AM
Dates	Signed By Date	Insert			7/14/2017 12:00:00 AM	7/14/2017 9:49 AM
Dates	Start Date	Insert				7/14/2017 9:49 AM
Terminations	Termination Comments	Insert				7/14/2017 9:49 AM
Terminations	Termination Date	Insert				7/14/2017 9:49 AM
Terminations	Termination Effective Date	Insert				7/14/2017 9:49 AM
Terminations	Termination Reason	Insert				7/14/2017 9:49 AM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History