340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHCLA225F Maricopa County Special Health Care District (Terminated)
Print
Main Details
Name
Maricopa County Special Health Care District
Subdivision Name
SUNNYSLOPE FAMILY HEALTH CENTER
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009887
340B ID
FQHCLA225F
Grant Number
LALCS00037
Additional Details
Current Program Status
Terminated
Registration Date
9/11/2007
Participating Start Date
10/1/2007
Participating Approval Date
9/14/2007
Last Recertification Date
2/14/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Maricopa County Special Health Care District
Richard Mutarelli, Executive Vice President, Chief Financial Officer
(602) 344-8425
Primary Contact
Maricopa County Special Health Care District
Anna Sogard, Director of Pharmacy
(602) 344-5253
Addresses
Street Address
934 W. HATCHER
PHOENIX, AZ 85021
Billing Address
MARICOPA MEDICAL CENTER
2601 E. ROOSEVELT STREET
PHOENIX, AZ 85008
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
03/14/2012 changed CE name (was MARICOPA MEDICAL CENTER)
09/11/2007
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session