| Details | Nature of Support: Support Received To Date | Update | Change Request | 12/31/2024 12:00:00 AM | 2/28/2026 12:00:00 AM | 11/13/2024 7:09 PM |
| Addresses | Main Address | Update | Recertification |
1ST AND C STREET NW
EPHRATA, WA 98823 |
1038 West Ivy Ave
Moses Lake, WA 98837 | 5/29/2024 8:57 AM |
| Addresses | Billing Address | Update | Recertification | GRANT COUNTY HEALTH DISTRICT
PO BOX 37
EPHRATA, WA 98823 | Grant County Health District
1038 West Ivy Ave
Moses Lake, WA 98837 | 5/29/2024 8:57 AM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | 12/31/2023 12:00:00 AM | 12/31/2024 12:00:00 AM | 5/29/2024 8:57 AM |
| Details | Last Recertification Date | Update | Recertification | 5/10/2023 2:43:31 PM | 5/29/2024 8:57:40 AM | 5/29/2024 8:57 AM |
| Contacts | Authorizing Official | Update | AO Change Request | Mitchell, Laina
Investigations and Response Manager
Grant County Health District
5097667960-30 | McCoy, Amber
Investigation & Response Division Manager
Grant County Health District
5097667960-14 | 4/29/2024 7:58 AM |
| Details | Last Recertification Date | Update | Recertification | 5/24/2022 3:29:23 PM | 5/10/2023 2:43:31 PM | 5/10/2023 2:43 PM |
| Details | Last Recertification Date | Update | Recertification | 5/12/2021 10:12:47 AM | 5/24/2022 3:29:23 PM | 5/24/2022 3:29 PM |
| Contacts | Authorizing Official | Update | Change Request | Huriaux, Emalie
Program Manager
Washington State Department of Health
3602362315 | Mitchell, Laina
Investigations and Response Manager
Grant County Health District
5097667960-30 | 2/15/2022 10:01 AM |
| Details | Nature of Support: In Kind Support Description | Update | Recertification | | Consultation for disease intervention services | 5/12/2021 10:12 AM |
| Details | Nature of Support: Support Received From Date | Update | Recertification | | 1/1/2019 12:00:00 AM | 5/12/2021 10:12 AM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | | 12/31/2023 12:00:00 AM | 5/12/2021 10:12 AM |
| Contacts | Primary Contact | Update | Recertification | KETCHEL, JEFF
Administrator
Grant County Health Department
5097546060 | Vargas, Maria
Community Public Health Manager
Grant county Health District
5097667960-19 | 5/12/2021 10:12 AM |
| Details | Last Recertification Date | Update | Recertification | 6/2/2020 3:20:29 PM | 5/12/2021 10:12:47 AM | 5/12/2021 10:12 AM |
| Details | Grant Number | Update | Recertification | 1 NH25PS005146-01-00 | 19NH25PS005146 | 5/12/2021 10:12 AM |
| Details | NOFO Number | Update | Recertification | | PS19-1901 | 5/12/2021 10:12 AM |
| Details | Last Recertification Date | Update | Recertification | 5/31/2019 12:55:03 PM | 6/2/2020 3:20:29 PM | 6/2/2020 3:20 PM |
| Details | Last Recertification Date | Update | Recertification | 4/25/2018 1:23:05 PM | 5/31/2019 12:55:03 PM | 5/31/2019 12:55 PM |
| Details | Grant Number | Update | Change Request | NH25PS004364-04-00 | 1 NH25PS005146-01-00 | 5/13/2019 10:14 AM |
| Contacts | Authorizing Official | Update | Change Request | AUBIN, MARK
DIRECTOR - STD SERVICES
Washington State DOH
3602363467 | Huriaux, Emalie
Program Manager
Washington State Department of Health
3602362315 | 4/30/2018 2:06 PM |
| Details | Last Recertification Date | Update | Recertification | 4/28/2017 12:00:00 AM | 4/25/2018 1:23:05 PM | 4/25/2018 1:23 PM |
| Contacts | Primary Contact | Update | Recertification | KETCHEL, JEFF
Administrator
5097546060 | KETCHEL, JEFF
Administrator
Grant County Health Department
5097546060 | 4/25/2018 1:23 PM |
| Contacts | Authorizing Official | Update | | AUBIN, MARK
DIRECTOR - STD SERVICES
3602363467 | AUBIN, MARK
DIRECTOR - STD SERVICES
Washington State DOH
3602363467 | 9/20/2017 6:46 PM |
| Contacts | Authorizing Official | Insert | | | AUBIN, MARK
DIRECTOR - STD SERVICES
3602363467 | 6/19/2017 1:46 PM |
| Addresses | Main Address | Insert | | |
1ST AND C STREET NW
EPHRATA, WA 98823 | 4/28/2017 9:49 AM |
| Contacts | Primary Contact | Update | | GRIGG, PEGGY
HEALTH DIRECTOR
5097546060 | KETCHEL, JEFF
Administrator
5097546060 | 4/28/2017 9:49 AM |
| Details | Last Recertification Date | Update | | 2/16/2016 12:00:00 AM | 4/28/2017 12:00:00 AM | 4/28/2017 9:48 AM |
| Details | Grant Number | Update | | STD-WA | NH25PS004364-04-00 | 4/28/2017 9:48 AM |
| Addresses | Shipping Address | Insert | | | Downtown Central Pharmacy
2124 Fourth Ave
Seattle, WA 98121 | 2/16/2016 3:01 PM |
| Details | Last Recertification Date | Update | | 2/10/2015 12:00:00 AM | 2/16/2016 12:00:00 AM | 2/16/2016 3:01 PM |
| Addresses | Billing Address | Insert | | | GRANT COUNTY HEALTH DISTRICT
PO BOX 37
EPHRATA, WA 98823 | 2/10/2015 10:59 AM |
| Details | Nature Of Support | Insert | | | In-Kind products or services (see note below; must have been purchased with section 318 funds) | 2/10/2015 10:59 AM |
| Details | Last Recertification Date | Update | | 2/21/2014 12:00:00 AM | 2/10/2015 12:00:00 AM | 2/10/2015 10:59 AM |
| Details | Last Recertification Date | Update | | 1/1/2012 12:00:00 AM | 2/21/2014 12:00:00 AM | 2/21/2014 6:00 PM |
| Contacts | Primary Contact | Insert | | | GRIGG, PEGGY
HEALTH DIRECTOR
5097546060 | 12/1/2011 3:42 PM |
| Details | Last Recertification Date | Update | | 1/1/2011 12:00:00 AM | 1/1/2012 12:00:00 AM | 12/1/2011 3:41 PM |
| Details | Comments Public | Insert | | | 12/1/11 updated addr (was COUNTY COURTHOUSE,BOX 37) added bill to | 12/1/2011 3:41 PM |
| Details | Last Recertification Date | Insert | | | 1/1/2011 12:00:00 AM | 11/22/2010 1:56 PM |
| Details | Grant Number | Insert | | | STD-WA | 11/22/2010 1:56 PM |
| Details | 340B ID | Insert | | | STD988232 | 11/22/2010 1:56 PM |
| Details | Is Authorizing Official EHB Data | Insert | | | | 11/22/2010 1:56 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 11/22/2010 1:56 PM |
| Details | Medicare Provider Number | Insert | | | | 11/22/2010 1:56 PM |
| Details | Entity Name | Insert | | | GRANT COUNTY HEALTH DISTRICT | 11/22/2010 1:56 PM |
| Details | Program Code | Insert | | | STD | 11/22/2010 1:56 PM |
| Details | Entity Subname | Insert | | | | 11/22/2010 1:56 PM |
| Dates | Participating Approval Date | Insert | | | 11/12/2004 12:00:00 AM | 11/22/2010 1:56 PM |
| Details | State | Insert | | | Active | 11/22/2010 1:56 PM |
| Dates | Registration Date | Insert | | | 1/1/2000 12:00:00 AM | 11/22/2010 1:56 PM |
| Dates | Signed By Date | Insert | | | 1/1/2011 12:00:00 AM | 11/22/2010 1:56 PM |
| Dates | Start Date | Insert | | | 1/1/2000 12:00:00 AM | 11/22/2010 1:56 PM |
| Terminations | Termination Comments | Insert | | | | 11/22/2010 1:56 PM |
| Terminations | Termination Date | Insert | | | | 11/22/2010 1:56 PM |
| Terminations | Termination Effective Date | Insert | | | | 11/22/2010 1:56 PM |
| Terminations | Termination Reason | Insert | | | | 11/22/2010 1:56 PM |