Covered Entity Details

FP86326 ARIZONA FAMILY HEALTH PARTNERSHIP (Active)

Main Details

Name

ARIZONA FAMILY HEALTH PARTNERSHIP

Subdivision Name

COMMUNITY HEALTH CENTER OF YAVAPAI- COTTONWOOD

Type

Family Planning (Title X only)

340B ID

FP86326

Grant Number

FPHPA006520

Additional Details

Current Program Status

Active

Registration Date

4/2/2024

Participating Start Date

7/1/2024

Participating Approval Date

4/23/2024

Last Recertification Date

Contacts

Authorizing Official

Yavapai, County of
Leslie Horton, Director, Health Officer
(928) 442-5303

Primary Contact

Yavapai, County of
Sharon Hemerka, 340B Drug Program Coordinator
(928) 583-1000

Addresses

Street Address

51 Brian Mickelsen Parkway
COTTONWOOD, AZ 86326

Billing Address

Community Health Center of Yavapai
1090 Commerce Drive
Prescott, AZ 86305-3700

Comment	Last Updated On
1 Item 1 to 4 of 4 Page: of 1 Page size:

1 Item 1 to 4 of 4 Page: of 1 Page size:
Participating from effective date: (07/1/2002) until terminated effective date: (07/1/2022), reinstatement effective date: (07/1/2024)	04/17/2024
7/10/12 THIS RECORD (CEID=22768) ORIGINALLY WAS FOR 340B ID FP850152, BUT THE DATA WAS INADVERTENTLY OVERWRITTEN WITH THE DATA FOR FP86326 ON 8/22/11. SUBSEQUENTLY, THE "ORIGINAL" FP86326 WAS DELETED IN ORDER TO ELIMINATE THE DUPLICATE, UNDER THE ASSUMPTION THAT SINCE FP850152 WAS FOR AN ADMINISTRATIVE OFFICE IT MOST LIKELY NEVER RECEIVED DRUG SHIPMENTS AND WAS NOT NEEDED. 8/22/11 ADDR UPDATED (WAS 10 S 6TH ST)	07/10/2012
8/22/11 ADDR UPDATED (WAS 10 S 6TH ST)	08/22/2011
3/11/2011- UPDATED ADD. (WAS 2920 N 24TH AVE, SUITE 230); 2/18/10 UPDATED ADDR (WAS 2920 N 24TH AVE, SUITE 26);	03/11/2011

340B Drug Pricing Program Database