Covered Entity Details

STD15212 Allegheny Clinic (Terminated) - information as of 6/27/2025 12:24:12 AM

Main Details

Name

Allegheny Clinic

Subdivision Name

The Positive Health Clinic-Mobile Van

Type

Sexually Transmitted Diseases

340B ID

STD15212

Grant Number

5 NH25PS005144-04-00

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 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.
Testing supplies to diagnose sexually transmitted diseases and medications to treat identified sexually transmitted diseases.
7/1/2022 - 12/31/2027

Additional Details

Current Program Status

Terminated

Registration Date

10/17/2022

Participating Start Date

1/1/2023

Participating Approval Date

11/29/2022

Last Recertification Date

5/8/2023

Notice of Funding Opportunity (NOFO) Number

CDC-RFA-PS19-1901

Termination Date
Termination Reason

4/1/2024
Business decision by the Covered Entity

Contacts

Authorizing Official

Allegheny Health Network
Donald Mark Whiting, President Allegheny Clinic
(412) 330-2497

Primary Contact

Allegheny Singer Research Institute
Cindy Magrini, Senior Program Manager
(412) 359-6721

Addresses

Street Address

30 Isabella Street
Suite 111
Pittsburgh, PA 15212

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

Shipping Address 1

The Positive Health Clinic-Mobile Clinic
1307 Federal Street
Suite B110
Pittsburgh, PA 15212

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	AGH APOTHECARY	ALLEGHENY GENERAL HOSPITAL	320 E NORTH AVE STE 111	PITTSBURGH	PA	15212-4756	11/29/2022	01/01/2023	04/01/2024	04/01/2024
Contract Detail	AHN PHARMACY	12311 PERRY HWY	SUITE F	WEXFORD	PA	15090-8344	11/29/2022	01/01/2023	04/01/2024	04/01/2024
Contract Detail	COORDINATED CARE NETWORK	COORDINATED CARE NETWORK	300 PENN CENTER BLVD STE 405	PITTSBURGH	PA	15235-5511	11/29/2022	01/01/2023	04/01/2024	04/01/2024
Contract Detail	COORDINATED CARE NETWORK PHARMACY	100 N CAMERON ST. STE 201		HARRISBURG	PA	17101	11/29/2022	01/01/2023	04/01/2024	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		12/31/2023 12:00:00 AM	2/14/2024 3:05 PM
Details	State	Update	Termination Request	Active	To Be Terminated	2/14/2024 3:05 PM
Terminations	Termination Comments	Update	Termination Request		340B drugs were never purchased for this site, but I wasn't able to submit without putting in a date.	2/14/2024 3:05 PM
Terminations	Termination Date	Update	Termination Request		4/1/2024 12:00:00 AM	2/14/2024 3:05 PM
Terminations	Termination Effective Date	Update	Termination Request		1/1/2024 12:00:00 AM	2/14/2024 3:05 PM
Terminations	Termination Reason	Update	Termination Request		Business decision by the Covered Entity	2/14/2024 3:05 PM
Details	Last Recertification Date	Update	Recertification		5/8/2023 12:24:15 PM	5/8/2023 12:24 PM
Details	State	Update		Approved	Active	1/1/2023 12:01 AM
Addresses	Main Address	Insert	New Registration		30 Isabella Street Suite 111 Pittsburgh, PA 15212	11/29/2022 2:49 PM
Contacts	Signed By	Insert	New Registration		Whiting, Donald Mark President Allegheny Clinic Allegheny Health Network 4123302497	11/29/2022 2:49 PM
Details	Grant Number	Update	New Registration	21068	5 NH25PS005144-04-00	11/29/2022 2:49 PM
Details	340B ID	Update	New Registration		STD15212	11/29/2022 2:49 PM
Details	NOFO Number	Update	New Registration	NA	CDC-RFA-PS19-1901	11/29/2022 2:49 PM
Dates	Participating Approval Date	Update	New Registration		11/29/2022 2:49:31 PM	11/29/2022 2:49 PM
Details	State	Update	New Registration	Pending	Approved	11/29/2022 2:49 PM
Dates	Signed By Date	Update	New Registration		11/28/2022 2:33:40 PM	11/29/2022 2:49 PM
Dates	Start Date	Update	New Registration		1/1/2023 12:00:00 AM	11/29/2022 2:49 PM
Contacts	Authorizing Official	Update	Profile Change Request	Whiting, Donald Mark President Allegheny Clinic Allegheny Health Network 4123302461	Whiting, Donald Mark President Allegheny Clinic Allegheny Health Network 4123302497	11/28/2022 2:36 PM
Addresses	Main Address	Insert	New Registration		30 Isabella Street Suite 111 Pittsburgh, PA 15212	10/17/2022 1:05 PM
Addresses	Shipping Address	Insert	New Registration		The Positive Health Clinic-Mobile Clinic 1307 Federal Street Suite B110 Pittsburgh, PA 15212	10/17/2022 1:05 PM
Details	Nature of Support: In Kind Support Description	Insert	New Registration		Testing supplies to diagnose sexually transmitted diseases and medications to treat identified sexually transmitted diseases.	10/17/2022 1:05 PM
Details	Nature Of Support	Insert	New Registration		In-Kind products or services (see note below; must have been purchased with section 318 funds)	10/17/2022 1:05 PM
Details	Nature of Support: Support Received From Date	Insert	New Registration		7/1/2022 12:00:00 AM	10/17/2022 1:05 PM
Details	Nature of Support: Support Received To Date	Insert	New Registration		12/31/2027 12:00:00 AM	10/17/2022 1:05 PM
Contacts	Authorizing Official	Insert	New Registration		Whiting, Donald Mark President Allegheny Clinic Allegheny Health Network 4123302461	10/17/2022 1:05 PM
Contacts	Primary Contact	Insert	New Registration		Magrini, Cindy Senior Program Manager Allegheny Singer Research Institute 4123596721	10/17/2022 1:05 PM
Details	Assistance Received From Date	Insert	New Registration			10/17/2022 1:05 PM
Details	Assistance Received To Date	Insert	New Registration			10/17/2022 1:05 PM
Details	Last Recertification Date	Insert	New Registration			10/17/2022 1:05 PM
Details	Grant Number	Insert	New Registration		21068	10/17/2022 1:05 PM
Details	340B ID	Insert	New Registration			10/17/2022 1:05 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/17/2022 1:05 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/17/2022 1:05 PM
Details	Medicare Provider Number	Insert	New Registration			10/17/2022 1:05 PM
Details	Entity Name	Insert	New Registration		Allegheny Clinic	10/17/2022 1:05 PM
Details	NOFO Number	Insert	New Registration		NA	10/17/2022 1:05 PM
Details	Program Code	Insert	New Registration		STD	10/17/2022 1:05 PM
Details	Entity Subname	Insert	New Registration		The Positive Health Clinic-Mobile Van	10/17/2022 1:05 PM
Dates	Participating Approval Date	Insert	New Registration			10/17/2022 1:05 PM
Details	State	Insert	New Registration		Pending	10/17/2022 1:05 PM
Dates	Registration Date	Insert	New Registration		10/17/2022 1:05:09 PM	10/17/2022 1:05 PM
Dates	Signed By Date	Insert	New Registration			10/17/2022 1:05 PM
Dates	Start Date	Insert	New Registration			10/17/2022 1:05 PM
Terminations	Termination Comments	Insert	New Registration			10/17/2022 1:05 PM
Terminations	Termination Date	Insert	New Registration			10/17/2022 1:05 PM
Terminations	Termination Effective Date	Insert	New Registration			10/17/2022 1:05 PM
Terminations	Termination Reason	Insert	New Registration			10/17/2022 1:05 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History