| Contacts | Authorizing Official | Update | Profile Change Request | Griffin, Charlie
Executive Director
FIRST COAST COMMUNITY DEVELOPMENT
9049946553 | Griffin, Charlie Bernard
Executive Director
FIRST COAST COMMUNITY DEVELOPMENT
9048667483 | 4/4/2025 6:11 PM |
| Contacts | Signed By | Update | Profile Change Request | Griffin, Charlie
Executive Director
FIRST COAST COMMUNITY DEVELOPMENT
9049946553 | Griffin, Charlie Bernard
Executive Director
FIRST COAST COMMUNITY DEVELOPMENT
9048667483 | 4/4/2025 6:11 PM |
| Contacts | Primary Contact | Update | Profile Change Request | Chester, Albert
Director
FIRST COAST COMMUNITY DEVELOPMENT
9045895544 | Chester, Albert
Director
FIRST COAST COMMUNITY DEVELOPMENT
9047670621 | 10/7/2024 9:19 AM |
| Details | Last Recertification Date | Update | Recertification | 5/9/2023 2:47:26 PM | 5/7/2024 8:16:03 AM | 5/7/2024 8:16 AM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | 4/30/2023 12:00:00 AM | | 5/9/2023 2:47 PM |
| Details | Last Recertification Date | Update | Recertification | | 5/9/2023 2:47:26 PM | 5/9/2023 2:47 PM |
| Addresses | Main Address | Update | Change Request |
720 N. Ocean Street
Jacksonville, FL 32202 |
525 N. Newnan Street
Jacksonville, FL 32202 | 1/25/2023 7:02 AM |
| Addresses | Shipping Address | Delete | Change Request | First Coast Community Development
400 E Bay St
Unit 1102
Jacksonville, FL 32202 | | 1/25/2023 7:02 AM |
| Details | State | Update | OPA Edit | Approved | Active | 5/25/2022 2:22 PM |
| Dates | Start Date | Update | OPA Edit | 7/1/2022 12:00:00 AM | 5/25/2022 12:00:00 AM | 5/25/2022 2:22 PM |
| Addresses | Shipping Address | Insert | Change Request | | First Coast Community Development
400 E Bay St
Unit 1102
Jacksonville, FL 32202 | 5/11/2022 12:40 PM |
| Contacts | Signed By | Insert | New Registration | | Griffin, Charlie
Executive Director
FIRST COAST COMMUNITY DEVELOPMENT
9049946553 | 5/10/2022 1:20 PM |
| Details | 340B ID | Update | New Registration | | STD322023 | 5/10/2022 1:20 PM |
| Dates | Participating Approval Date | Update | New Registration | | 5/10/2022 1:20:17 PM | 5/10/2022 1:20 PM |
| Details | State | Update | New Registration | Pending | Approved | 5/10/2022 1:20 PM |
| Dates | Signed By Date | Update | New Registration | | 4/15/2022 5:23:37 PM | 5/10/2022 1:20 PM |
| Dates | Start Date | Update | New Registration | | 7/1/2022 12:00:00 AM | 5/10/2022 1:20 PM |
| Addresses | Main Address | Insert | New Registration | |
720 N. Ocean Street
Jacksonville, FL 32202 | 4/15/2022 5:23 PM |
| Details | Nature of Support: In Kind Support Description | Insert | New Registration | | WE ARE PROVIDED WITH HIV TEST KITS, CONDOMS, LAB SERVICES, INFORMATIONAL MATERIALS, AND TRAINING. | 4/15/2022 5:23 PM |
| Details | Nature Of Support | Insert | New Registration | | In-Kind products or services (see note below; must have been purchased with section 318 funds) | 4/15/2022 5:23 PM |
| Details | Nature of Support: Support Received From Date | Insert | New Registration | | 4/15/2022 12:00:00 AM | 4/15/2022 5:23 PM |
| Details | Nature of Support: Support Received To Date | Insert | New Registration | | 4/30/2023 12:00:00 AM | 4/15/2022 5:23 PM |
| Contacts | Authorizing Official | Insert | New Registration | | Griffin, Charlie
Executive Director
FIRST COAST COMMUNITY DEVELOPMENT
9049946553 | 4/15/2022 5:23 PM |
| Contacts | Primary Contact | Insert | New Registration | | Chester, Albert
Director
FIRST COAST COMMUNITY DEVELOPMENT
9045895544 | 4/15/2022 5:23 PM |
| Details | Assistance Received From Date | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Details | Assistance Received To Date | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Details | Grant Number | Insert | New Registration | | 6NU62PS924532-05-01 | 4/15/2022 5:23 PM |
| Details | 340B ID | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Details | Entity Name | Insert | New Registration | | FIRST COAST COMMUNITY DEVELOPMENT, INC | 4/15/2022 5:23 PM |
| Details | NOFO Number | Insert | New Registration | | CDC-RFA-PS18-1802 | 4/15/2022 5:23 PM |
| Details | Program Code | Insert | New Registration | | STD | 4/15/2022 5:23 PM |
| Details | Entity Subname | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Details | State | Insert | New Registration | | Pending | 4/15/2022 5:23 PM |
| Dates | Registration Date | Insert | New Registration | | 4/15/2022 5:23:33 PM | 4/15/2022 5:23 PM |
| Dates | Signed By Date | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Dates | Start Date | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Terminations | Termination Date | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 4/15/2022 5:23 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 4/15/2022 5:23 PM |