340B Drug Pricing Program Database

Name

Sagebrush Health Services

Subdivision Name

Pahrump Clinic - KSOSN

Type

Sexually Transmitted Diseases

340B ID

STD890482

Grant Number

6 NH25PS005179-05-02

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

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.
Condoms and Marketing Material
2/1/2024 - 1/31/2025

Current Program Status

Terminated

Registration Date

4/7/2023

Participating Start Date

5/1/2023

Participating Approval Date

5/1/2023

Last Recertification Date

6/4/2024

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Termination Date
Termination Reason

1/1/2025
Business decision by the Covered Entity

Authorizing Official

Sagebrush Health Services
Jami Dybik, Vice President
(843) 814-5177

Primary Contact

Sagebrush Health Service
Jonathan Meredith, Compliance Director
(540) 922-3005

Street Address

330 South Lola Lane
Suite #200
Pahrump, NV 89048

Billing Address

Sagebrush Health Services
8379 W. Sunset Rd.
210
Las Vegas, NV 89113