Covered Entity Details

FP724220 CLAY COUNTY HEALTH UNIT (Active)

Name

CLAY COUNTY HEALTH UNIT

Subdivision Name

Corning

Type

Family Planning (Title X only)

340B ID

FP724220

Grant Number

FPHPA006512

Authorizing Official

Arkansas Department of Health
Geray Pickle, Chief Financial Officer
(501) 661-2748

Primary Contact

Arkansas Department of Health
Kimberly Anne Turner-Smith, Women's Health Technical Assistance Coordinator
(501) 280-4504

Current Program Status

Active

Registration Date

1/1/1998

Participating Start Date

4/1/2012

Participating Approval Date

3/30/2012

Last Recertification Date

5/15/2024

Street Address

301 B, MISSOURI #18
CORNING, AR 72422

Billing Address

Arkansas Department of Health-Accounts Payable
4815 West Markham Slot 28
Little Rock, AR 72205

Comment	Last Updated On
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3/29/12 participating 1/1/98 thru 3/31/10, not participating 4/1/10 thru 3/31/12, added bill to and ship to, added Medicaid and NPI #s; 4/24/06 MODIFIED ADDR; 2/27/07 ADDR CHANGE (WAS 301 N MISSOURI #18)	03/30/2012
3/29/12 participating 1/1/98 thru 3/31/10, not participating 4/1/10 thru 3/31/12, added bill to and ship to, added Medicaid and NPI #s, added AR DOH as entity name; 4/24/06 MODIFIED ADDR; 2/27/07 ADDR CHANGE (WAS 301 N MISSOURI #18)	03/29/2012
4/24/06 MODIFIED ADDR; 2/27/07 ADDR CHANGE (WAS 301 N MISSOURI #18)	03/31/2010