340B Drug Pricing Program Database

Name

Apache County Public Health Services District

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD85938

Grant Number

NH25PS005157

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.
Condoms
1/1/2019

Current Program Status

Active

Registration Date

4/4/2017

Participating Start Date

7/1/2017

Participating Approval Date

4/24/2017

Last Recertification Date

5/12/2025

Notice of Funding Opportunity (NOFO) Number

PS-19-1901

Authorizing Official

Apache County Public Health Service District
Tina Marie Padilla, Clinical Coordinator
(928) 333-6433

Primary Contact

Apache County Public Health Services District
Kimberly Cole, Health Director
(928) 337-7926

Street Address

323 S Mountain Ave
Ste 102
Springerville, AZ 85938

Billing Address
Same as Street Address