340B Drug Pricing Program Database

Name

Blue Mountain Clinic

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD598026

Grant Number

6 NH25PS005168-05-06

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

Direct Funding (dollars received from CDC or an intermediate organization)
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.

1/1/2023 - 2/28/2026

Current Program Status

Active

Registration Date

1/5/2022

Participating Start Date

4/1/2022

Participating Approval Date

2/10/2022

Last Recertification Date

5/12/2025

Notice of Funding Opportunity (NOFO) Number

CDC-RFA-PS19-1901

Authorizing Official

Blue Mountain Clinic, Inc
Jodi Tucker, Operations Manager
(406) 721-1646 Ext: 215

Primary Contact

Blue Mountain Clinic
Mia A Barham, 340B Coordinator/ Manager
(406) 541-4372

Street Address

610 N. California St
Missoula, MT 59802

Billing Address
Same as Street Address