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STD06489 Sagebrush Health Services (Active)
Main Details
Name
Sagebrush Health Services
Subdivision Name
Southington Clinic - CT
Type
Sexually Transmitted Diseases
340B ID
STD06489
Grant Number
6 NU62PS924521-04-02
Nature of Support
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.
Please Describe the “in-kind” Support
Rapid HIV Kits
Time period section 318 funding or in-kind support was received
1/1/2018 - 12/31/2023
Contacts
Authorizing Official
Sagebrush Health Services
Jami Dybik, Vice President
(843) 814-5177
Primary Contact
Sagebrush Health
Vladimir Abadjiev, Controller
(702) 526-3146
Additional Details
Current Program Status
Active
Registration Date
12/21/2022
Participating Start Date
12/28/2022
Participating Approval Date
12/28/2022
Last Recertification Date
5/19/2023
Notice of Funding Opportunity (NOFO) Number
PS18-1802
Addresses
Street Address
1131 West St. Building #1
Southington, CT 06489
Billing Address
Sagebrush Health Services
8379 W. Sunset Rd
Suite 210
Las Vegas, NV 89113
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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