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FP891277D SOUTHERN NEVADA HEALTH DISTRICT (Active)
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Main Details
Name
SOUTHERN NEVADA HEALTH DISTRICT
Subdivision Name
West Las Vegas Public Health Center
Type
Family Planning (Title X only)
340B ID
FP891277D
Grant Number
FPHPA006516
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
8/25/2004
Last Recertification Date
5/14/2024
Contacts
Authorizing Official
SOUTHERN NEVADA HEALTH DISTRICT
DONNIE WHITAKER, CFO/DIRECTOR OF FINANCE
(702) 759-1540
Primary Contact
Southern Nevada Health District
Todd Bleak, Director of Pharmacy
(702) 759-1136
Addresses
Street Address
280 S. Decatur Blvd.
Las Vegas, NV 89107
Billing Address
SOUTHERN NEVADA HEALTH DISTRICT
PO BOX 3902
LAS VEGAS, NV 89127-3902
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/2/07 UPDATED ADDR (WAS 129 W LAKE MEAD DRIVE, #10); 2/2/07 UPDATED ENTITY NAME (WAS CLARK COUNTY HEALTH DISTRICT); 2/2/07 UPDATED SHIP TO; 2/2/07 UPDATED BILL TO; 2/21/06 UPDATED SHIP TO;
01/21/2010
April 2025
April 2025
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