340B Drug Pricing Program Database


TB991141 NORTHEAST TRI-COUNTY HEALTH (Active) - information as of 6/19/2025 11:45:15 PM

Main Details
NORTHEAST TRI-COUNTY HEALTH
TB Program
Tuberculosis
TB991141
NU52PS910277


In-Kind products or services (see note below; must have been purchased with section 317 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.
The Washington State TB Program receives 317 funding from the CDC Cooperative Agreement for our TB program. We do not these use federal TB dollars to purchase 340B medications, nor do our LHJs, we use state or local funding. Occasionally we apply for expiring CDC National Stockpile TB medications. If we receive any of these former Stockpile TB medications, they are stored and tracked separately from the 340B TB medications.
1/1/2025 - 12/31/2029


Additional Details
Active
1/1/1999
1/1/1999
11/12/2004
5/19/2025
CDC-RFA-PS25-0003

Contacts

WA State Dept of Health - TB Program
Scott C Hutton, WA State TB Controller/TB Program Manager
(564) 200-3178

Northeast Tri County Health District
Molly Corvino, Community Health Director
(509) 563-8027

Addresses

240 E Dominion
COLVILLE, WA 99114

Same as Street Address


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

No
Shipping Addresses

Seattle King County Public Health Downtown Pharmacy
2124 4th Ave
Seattle, WA 98121
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailPUBLIC HEALTHDOWNTOWN CENTRAL PHARMACY 2124 4TH AVE
SEATTLEWA9812101/24/201201/24/2012  03/01/2016
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressInsertRecertification Seattle King County Public Health Downtown Pharmacy 2124 4th Ave Seattle, WA 981215/19/2025 12:36 PM
AddressesShipping AddressDeleteRecertificationSeattle King County Public Health Downtown Pharmacy 2124 4th Ave Seattle, WA 98121 5/19/2025 12:36 PM
DetailsLast Recertification DateUpdateRecertification5/6/2024 1:14:27 PM5/19/2025 12:36:04 PM5/19/2025 12:36 PM
DetailsNature of Support: Support Received From DateUpdateChange Request1/1/2020 12:00:00 AM1/1/2025 12:00:00 AM3/24/2025 6:04 PM
DetailsNature of Support: Support Received To DateUpdateChange Request12/31/2024 12:00:00 AM12/31/2029 12:00:00 AM3/24/2025 6:04 PM
DetailsGrant NumberUpdateGroup Change RequestNU52PS910221NU52PS9102773/18/2025 12:03 PM
DetailsNOFO NumberUpdateGroup Change RequestCDC-RFA-PS20-2001CDC-RFA-PS25-00033/18/2025 12:03 PM
ContactsAuthorizing OfficialUpdateGroup Change RequestPecha, Monica TB Controller Washington Department of Health 2064185544Hutton, Scott C WA State TB Controller/TB Program Manager WA State Dept of Health - TB Program 56420031786/3/2024 4:19 PM
DetailsLast Recertification DateUpdateRecertification5/11/2023 7:46:59 AM5/6/2024 1:14:27 PM5/6/2024 1:14 PM
DetailsNature of Support: Support Received From DateUpdateRecertification1/1/2021 12:00:00 AM1/1/2020 12:00:00 AM5/11/2023 7:46 AM
DetailsLast Recertification DateUpdateRecertification5/25/2022 1:44:10 PM5/11/2023 7:46:59 AM5/11/2023 7:46 AM
DetailsGrant NumberUpdateRecertification6NU52PS910221NU52PS9102215/11/2023 7:46 AM
DetailsNature of Support: Support Received To DateUpdateRecertification12/31/2021 12:00:00 AM12/31/2024 12:00:00 AM5/25/2022 1:44 PM
DetailsLast Recertification DateUpdateRecertification6/1/2021 8:57:19 AM5/25/2022 1:44:10 PM5/25/2022 1:44 PM
DetailsGrant NumberUpdateRecertification5NU52PS910221-02-006NU52PS9102215/25/2022 1:44 PM
DetailsNature of Support: In Kind Support DescriptionUpdateRecertification The Washington State TB Program receives 317 funding from the CDC Cooperative Agreement for our TB program. We do not these use federal TB dollars to purchase 340B medications, nor do our LHJs, we use state or local funding. Occasionally we apply for expiring CDC National Stockpile TB medications. If we receive any of these former Stockpile TB medications, they are stored and tracked separately from the 340B TB medications. 6/1/2021 8:57 AM
DetailsNature of Support: Support Received From DateUpdateRecertification 1/1/2021 12:00:00 AM6/1/2021 8:57 AM
DetailsNature of Support: Support Received To DateUpdateRecertification 12/31/2021 12:00:00 AM6/1/2021 8:57 AM
ContactsPrimary ContactUpdateRecertificationHUTTON, JUDY CLINIC ADMINISTRATOR North East Tri county Health Department 5097753111Corvino, Molly Community Health Director Northeast Tri County Health District 50956380276/1/2021 8:57 AM
DetailsLast Recertification DateUpdateRecertification5/28/2020 8:01:19 AM6/1/2021 8:57:19 AM6/1/2021 8:57 AM
DetailsGrant NumberUpdateRecertification6NU52PS910221-01-015NU52PS910221-02-006/1/2021 8:57 AM
DetailsNOFO NumberUpdateRecertification CDC-RFA-PS20-20016/1/2021 8:57 AM
DetailsLast Recertification DateUpdateRecertification5/23/2019 6:57:37 AM5/28/2020 8:01:19 AM5/28/2020 8:01 AM
DetailsGrant NumberUpdateRecertification5NU52PS004674-05-006NU52PS910221-01-015/28/2020 8:01 AM
DetailsNature Of SupportDeleteRecertificationDirect Funding (dollars received from CDC or an intermediate organization) ()-()  5/23/2019 6:57 AM
DetailsLast Recertification DateUpdateRecertification5/10/2018 2:09:31 PM5/23/2019 6:57:37 AM5/23/2019 6:57 AM
DetailsGrant NumberUpdateRecertification6NU52PS04674-04-015NU52PS004674-05-005/23/2019 6:57 AM
DetailsEntity SubnameUpdateRecertification TB Program5/23/2019 6:57 AM
ContactsAuthorizing OfficialUpdateChange RequestCarlson, Sherry TB Controller WA State Dept of Health 3602363528Pecha, Monica TB Controller Washington Department of Health 20641855446/29/2018 7:57 AM
ContactsPrimary ContactUpdateRecertificationRanger, Lisa RN 5096852627HUTTON, JUDY CLINIC ADMINISTRATOR North East Tri county Health Department 50977531115/10/2018 2:09 PM
DetailsLast Recertification DateUpdateRecertification4/28/2017 12:00:00 AM5/10/2018 2:09:31 PM5/10/2018 2:09 PM
DetailsGrant NumberUpdateRecertification5NU52PS004674-03-006NU52PS04674-04-015/10/2018 2:09 PM
ContactsAuthorizing OfficialUpdate Carlson, Sherry TB Controller 3602363528Carlson, Sherry TB Controller WA State Dept of Health 36023635281/8/2018 10:36 AM
ContactsAuthorizing OfficialUpdate Allen, Sheanne TB CONTROLLER 3602363423Carlson, Sherry TB Controller 36023635285/17/2017 7:34 AM
AddressesMain AddressInsert   240 E DOMINION COLVILLE, WA 991144/28/2017 2:20 PM
ContactsPrimary ContactUpdate BICCHIERI, YVONNE NURSING DIRECTOR 5096845048Ranger, Lisa RN 50968526274/28/2017 2:20 PM
DetailsLast Recertification DateUpdate 3/1/2016 12:00:00 AM4/28/2017 12:00:00 AM4/28/2017 2:20 PM
DetailsGrant NumberUpdate TB-WA5NU52PS004674-03-004/28/2017 2:20 PM
ContactsAuthorizing OfficialInsert  Allen, Sheanne TB CONTROLLER 36023634236/3/2016 7:20 AM
AddressesShipping AddressInsert  Seattle King County Public Health Downtown Pharmacy 2124 4th Ave Seattle, WA 981213/1/2016 10:50 AM
DetailsNature Of SupportInsert  In-Kind products or services (see note below; must have been purchased with section 317 funds)3/1/2016 10:50 AM
DetailsLast Recertification DateUpdate 2/5/2015 12:00:00 AM3/1/2016 12:00:00 AM3/1/2016 10:50 AM
DetailsNature Of SupportInsert  Direct Funding (dollars received from CDC or an intermediate organization)2/5/2015 9:39 AM
DetailsLast Recertification DateUpdate 2/10/2014 12:00:00 AM2/5/2015 12:00:00 AM2/5/2015 9:39 AM
DetailsLast Recertification DateUpdate 1/1/2012 12:00:00 AM2/10/2014 12:00:00 AM2/10/2014 11:26 AM
DetailsLast Recertification DateUpdate 1/1/2011 12:00:00 AM1/1/2012 12:00:00 AM11/7/2011 4:59 PM
ContactsPrimary ContactInsert  BICCHIERI, YVONNE NURSING DIRECTOR 509684504810/22/2010 7:09 PM
DetailsLast Recertification DateInsert  1/1/2011 12:00:00 AM10/22/2010 7:09 PM
DetailsGrant NumberInsert  TB-WA10/22/2010 7:09 PM
Details340B IDInsert  TB99114110/22/2010 7:09 PM
DetailsIs Authorizing Official EHB DataInsert   10/22/2010 7:09 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/22/2010 7:09 PM
DetailsMedicare Provider NumberInsert   10/22/2010 7:09 PM
DetailsEntity NameInsert  NORTHEAST TRI-COUNTY HEALTH10/22/2010 7:09 PM
DetailsProgram CodeInsert  TB10/22/2010 7:09 PM
DetailsEntity SubnameInsert   10/22/2010 7:09 PM
DatesParticipating Approval DateInsert  11/12/2004 12:00:00 AM10/22/2010 7:09 PM
DetailsStateInsert  Active10/22/2010 7:09 PM
DatesRegistration DateInsert  1/1/1999 12:00:00 AM10/22/2010 7:09 PM
DatesSigned By DateInsert  1/1/2011 12:00:00 AM10/22/2010 7:09 PM
DatesStart DateInsert  1/1/1999 12:00:00 AM10/22/2010 7:09 PM
TerminationsTermination CommentsInsert   10/22/2010 7:09 PM
TerminationsTermination DateInsert   10/22/2010 7:09 PM
TerminationsTermination Effective DateInsert   10/22/2010 7:09 PM
TerminationsTermination ReasonInsert   10/22/2010 7:09 PM