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FP847702 PLANNED PARENTHOOD ASSOC. OF UTAH (ToBeTerminated)
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Main Details
Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
St. George Clinic
Type
Family Planning (Title X only)
340B ID
FP847702
Grant Number
FPHPA006544
Additional Details
Current Program Status
ToBeTerminated
Registration Date
7/26/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/29/2022
Last Recertification Date
5/14/2024
Termination Date
Termination Reason
7/1/2025
Site closure
Contacts
Authorizing Official
Planned Parenthood Association of UTAH
Lori Gawron, Chief Medical Officer / Surgical Director
(312) 560-6162
Primary Contact
Planned Parenthood Association of Utah
Carol Paglis, PIC
(801) 532-1586
Addresses
Street Address
595 S BLUFF ST
ST GEORGE, UT 84770
Billing Address
PLANNED PARENTHOOD ASSOC. OF UTAH
654 SOUTH 900 EAST
Salt Lake City, UT 84102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (10/1/1998) until terminated effective date: (10/1/2019), reinstatement effective date: (10/1/2022)
07/28/2022
2/16/10 ADDED MEDICAID #; 2/28/07 UPDATED ENTITY NAME (WAS COLOR COUNTRY); 2/1/06 UPDATED BILL TO;
02/16/2010
May 2025
May 2025
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