340B Drug Pricing Program Database

Name

CHAMPAIGN HEALTH DISTRICT

Subdivision Name

Type

Tuberculosis

340B ID

TB430789

Grant Number

5 NU52PS004703-05-00

Nature of Support
Please Describe the “in-kind” Support
Time period section 317 funding or in-kind support was received

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.

Current Program Status

Terminated

Registration Date

7/1/2005

Participating Start Date

7/1/2005

Participating Approval Date

7/8/2005

Last Recertification Date

5/4/2020

Notice of Funding Opportunity (NOFO) Number

Termination Date
Termination Reason

7/1/2021
Failure to recertify

Authorizing Official

Champaign Health District
Gabe Jones, Health Commissioner
(937) 484-1547

Primary Contact

Champaign Health District
Amanda Roll, Director of Nursing
(937) 484-1619

Street Address

1512 SOUTH HIGHWAY 68
SUITE Q100
URBANA, OH 43078

Billing Address
Same as Street Address