ALABAMA
Point of contact (POC): Charles Lail
Signatory: Donald E. Williamson, M.D.
Alabama Department of Public Health Development
The RSA Tower
Office of Primary Care and Rural Health Development
Suite 840, Attn: Mr. Charles Lail
P.O.Box 303017
Montgomery, AL 36130-3017
(ph) 334-206-5438, (fax) 334-206-5430
ARIZONA
POC: Mariam Vega
Signatory: Danny Valenzuela, ADHS, Deputy Director
Bureau of Health Systems Development
Arizona Department of Health Services
1740 West Adams, Room –312
Phoenix, AZ 85007
(ph) 602 542-1219, (fax) 602-542-2011
CALIFORNIA
POC: Susan Torricella
Signatory: Catherine Camacho, Acting Deputy Director
Primary Care and Family Health Division
1501 Capitol Ave., MS 8000
P.O. Box 997413
Sacramento, CA 95899 (ph) 916-449-5799, (fax) 916-440-7606
CONNECTICUT
POC: Steve Carragher
Signatory: Wendy Furniss, Acting Bureau Chief
Bureau of Healthcare Systems
410 Capitol Avenue – MS #12APP
P.O. Box 340308
Hartford, CT 06134-0308
(ph) 860-509-7576, (fax) 860-509-8457
DISTRICT OF COLUMBIA
POCs: Yavonne Jackson and Katina Evans
Signatory: Gregg Pane, Acting Director
Department of Health
825 North Capital Street, NW, 4th Floor
Washington, D.C. 20002-4210
(ph) 202-442-9380/9168, (fax) 202-442-8060
GEORGIA
POC: Isiah Lineberry
Signatory: Isiah Lineberry, Executive Director
Office of Rural Health Services
502 Seventh Street South
Cordele, GA 31015-1443
(ph) 229-401-3095, (fax) 229-401-3077
IDAHO
POC: Laura Rowen
Signatory: Richard H. Schultz
Idaho Department of Health and Welfare
State Office of Rural Health and Primary Care
450 West State Street, 4th Floor
P.O. Box 83720
Boise, Idaho 83720-0036
(ph) 208-334-5993, (fax) 208-332-7262
INDIANA
POC: Nellie Simpson
Signatory: Gregory A. Wilson, M.D.
State Health Commissioner
Indiana State Department of Health
2 North Meridian Street
Indianapolis, IN 46204
(ph) 317-233-7400 (fax) 317-233-7761
KANSAS
POC: Barbara Gibson
Signatory: Richard Morrissey, Director
Kansas Department of Health
Officer of Local and Rural Health
900 SW Jackson, Room 1051-S
Topeka, KS 66612-1290
(ph) 785-296-0613, (fax) 785-296-1231
LOUISIANA
POC: Kristy Nichols
Signatory: Kristy Nichols
State of Louisiana
Department of Health and Hospitals
P.O. Box 2870, Bin 30
Baton Rouge, LA 70821-2870
(ph) 225-342-5839, (fax) 225-342-3814
MARYLAND
POC: Antoinette Coward
Signatory: Antoinette Coward
Primary Care Planning and Policy Development
Office of Primary Care Services
Maryland Department of Health and Mental Hygiene
201 W. Preston Street
Baltimore, MD 21201-2399
(ph) 410-767-5602, (fax) 410-333-7501
MICHIGAN
POC: Michele Lovaas
Signatory: Janet Olszewski, Director
Michigan Department of Public Health
320 South Walnut Street
Lansing, MI 48913
(ph) 517-347-3332, (fax) 517-347-4096
MISSISSIPPI
POC: Alvin Harrian
Signatory: Brian W. Amy, M.D.
Mississippi State Department of Health
P.O. Box 1700
570 East Woodrow Wilson Drive
Jackson, MS 39215-1700
(Ph) 601-576-7216, (fax) 601-576-7230
MONTANA
POC: John Schroeck
Signatory: Gail Gray, Director
Department of Public Health and Human Services
P.O. Box 4210
Helen, MT 59604
(ph) 406-444-3934, (fax) 406-444-1861
NEVADA
POCs: Mark Hemmings and Mary Baker
Signatory: Alex Haartz, MPH, Administrator
Nevada State Health Division
505 E. King Street, Room 201
Carson City, NV 89701
(ph) 775-684-4041/4047, (fax) 775-684-4046)
NEW JERSEY
POC: Linda Anderson
Signatory: Christine Grant, Commissioner
Department of Health and Senior Services
P.O. Box 360
Trenton, NJ 08625-0360
(ph) 609-292-1495, (fax) 609-292-9599
NEW YORK
POC: Barry Gray
Signatory: Judith Arnold, Deputy Commissioner
Planning, Policy and Resource Development
New York State Department of Health
Empire State Plaza, Corning Tower
Albany, NY 12237
(ph) 518-473-4700, (fax) 518-474-0572
NORTH DAKOTA
POC: Gary Garland
Signatory: Terry Dwelle, M.D.
State Health Officer
North Dakota Department of Health - Dept. 301
600 East Boulevard Avenue
Bismarck, ND 58505-0200
(ph) 701-328-4839, (fax) 701-328-1890
OKLAHOMA
POC: Mike Brown
Signatory: Stephen W. Ronck
Stephen W. Ronck, M.P.H, Deputy Commissioner
Community Health Services
Oklahoma State Department of Health
1000 N.E. Tenth Street
Oklahoma City, OK 73117-1299
(ph) 405-271-8427, (fax) 405-271-5493
PENNSYLVANIA
POC: Constance B. Hanna
Signatory: Calvin B. Johnson, Secretary of Health
Pennsylvania Department of Health
Bureau of Health Planning
P.O. Box 90
Harrusburg, PA 17108
(ph) 717-772-5298, (fax) 717-705-6525
SOUTH CAROLINA
POC: Mark Jordan
Signatory: Mark Jordan
Office of Primary Care
Department of Health and Environment Control
2600 Bull Street
Columbia, SC 29201
(ph) (803) 898-0766, (fax) 803-898-0445
TENNESSE
POC: Ann Phillips
Signatory: Kenneth S. Robinson, M.D.
Tennessee Department of Health
425 5th Avenue, North
Cordell Hull, 6th Floor
Nashville, TN 37247-0101
(ph) 615-741-2101, (fax) 615-253-2100
UTAH
POC: Erin L Olsen
Signatory: Iona M. Thraen
Bureau of Primary Care, Rural & Ethnic Health
Utah Department of Health
P.O. Box 142005
Salt Lake, UT 84114-2856
(ph) 801-538-6214, (fax) 801-538-6387
VIRGINIA
POC: Shelia Fitzgerald
Signatory: Karen E. Reed
Virginia Department of Health
Office of Health Policy and Planning
109 Governor Street, Suite 1016
Richmond, VA 23219
(ph) 804-864-7427/7436, (fax) 804-864-7440
WEST VIRGINIA
POC: Linda Atkins
Signatory: Martha Walker, Secretary
Department of Health & Human Resources (WVDHHR)
Building 3, Room-206
State Capitol Complex
Charleston, WV 25305
(ph) 304) 558-0684, (fax) 304-558-1130
WYOMING
POC: Doug Thiede
Signatory: Lynne Weidel, Administrator
Wyoming Department of Health
Office of Rural Health
2300 Capitol Avenue, Rm. 466
Hathaway Bldg.
Cheyenne, WY 82002
(ph) 307-777-6970, (fax) 307-777-8545 |
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ALASKA
POC: Jean Findley, Health Program Manager
Signatory: Anthony Lombardo, Deputy Commissioner
Department of Health and Social Services
Division of Public Health
Section of Community Health & Emergency Medical Services
P.O. Box 110610
Juneau, AK 99811-0610
(ph) 907-465-8652, (fax) 907-465-6861
ARKANSAS
POC: Mary H. Fuller
Signatory: Mary H. Fuller, Program Manager
J-1 Visa Waiver Program
Arkansas Department of Health
5800 West Tenth Street, Suite 400
Little Rock, AR 72204
(ph) 501-661-2201, (fax) 501-661-2165
COLORADO
POC: Kitty Stevens, RN MSN
Signatory: Kitty Stevens
Director of Oral, Rural and Primary Care
Colorado Department of Public Health and Environment
Primary Care Office – A-5
4300 Cherry Creek Drive South
Denver, CO 80246-1530
(ph) 303-692-2582, (fax) 303-758-3448
DELAWARE
POC: Cristina Whittaker
Signatory: Jaime H. Rivera, M.D.
Jesse S. Cooper Building
Division of Public Health
P.O. Box 637
Dover, DE 19903
(ph) 302-741-2960, (fax) 302-741-2970
FLORIDA
POC: Karen Lundberg
Signatory John O. Agwunobi, M.D.
Florida Department of Health
4052 Bald Cypress Way
Tallahassee, FL 32399-1700
(ph) 850-245-4446 ex-2704, (fax) 850-922-6296
HAWAII
POC: Valerie Yin
Signatory: Chiyome L. Fukino, M.D.
Hawaii Department of Health
Office of Planning, Policy and Program Development
1250 Punchbowl Street, Room – 340
Honolulu, HI 96813
(ph) 808-586- 4187, (fax) 808-586-4193
ILLINOIS
POC: Mary Ring
Signatory: Eric E. Whitaker, M.D.
Illinois Department of Public Health
535 West Jefferson Street
Springfield, Il 62761
(ph) 217-782-1624, (fax) 217-782-2547
IOWA
POC: Carl A. Kulczyk
Signatory: Carl A. Kulczyk
Iowa Department of Public Health
Bureau for Rural Health and Primary Care
Lucas State Office Building, 5th Floor, SE
Des Moines, IA 50319-0075
(ph) 515-281-7223, (fax) 515-242-6384
KENTUCKY
POC: John W. Hensley
Signatory: John W. Hensley, Manager
Health Care Access Branch
Division for Adult and Child Health
Department for Public Health
275 East Main Street
Frankfort, KY 40621
(ph) 502-564-8966 ext.3785, (fax) 502-564-8389
MAINE
POC: Sophie Glidden
Signatory: John R. Nicholas, Acting Commissioner
Department of Human Services
#1 State House Station
Augusta, ME 04333-0001
(ph) 207-287-5503, (fax) 207-624-5431
MASSACHUSETTS
POCs: Julia Dyck and Lisa Levine
Signatory: Christine Ferguson
Commissioner of Public Health
Department of Public Health
250 Washington, Street
Boston, MA 02108-4619
(ph) 617-624-6023/6051, (fax) 617-624-6062
MINNESOTA
POC: Lawrence Colaizy
Signatory: Lawrence Colaizy
Minnesota Office of Rural Health and Primary Care
P.O. Box 64882
St. Paul, MN 55164-0882
(ph) 651-282-3851, (fax) 651-297-5808
MISSOURI
POC: Jonie Adamson
Signatory: Harold Kirbey, Bureau Chief
Health Systems Research and Development
Missouri Department of Health
P.O. Box 570
Jefferson, City, MO 65102
(ph) 573-526-9687, (fax) 573-522-8146
NEBRASKA
POC: Tom Rauner
Signatory: Richard Raymond, M.D.
Department of Health and Human Services
Office of Rural Health
301 Centennial Mall South
P.O. Box 95044
Lincoln, NE 68509-5044
(ph) 402-471-0148, (fax) 402-471-0180
NEW HAMPSHIRE
POC: Christabell Tomilson
Signatory: Bryan Ayars, Administrator
Office of Health Management
Department of Health and Human Services
6 Hazen Drive
Concord, NH 03301
(ph) 603-271-2276, (fax) 603-271-4506
NEW MEXICO
POCs: Kim Kinsey and Gabriel Chavez
Signatory: Michelle Lujan Grisham
State of New Mexico Department of Health
1190 St. Francis Drive, N4100
P.O. Box 261110
Santa Fe, NM 87502-6110
(ph) 505-841-5871/5866, (fax) 505-841-5885
NORTH CAROLINA
POC: Tom Tucker
Signatory: Torlen Wade, Director
NC Office of Research, Demonstrations, and Rural Health Development
2009 Mail Service Center
Raleigh, NC 27606
(ph) 919-733-1333, (fax) 919-733-8300
OHIO
POC: Phil Styer
Signatory: Nick J. Baird, M.D.
Director of Health
Ohio Department of Health
P.O. Box 118
Columbus, OH 43266-0118
(ph) 614-644-8063, (fax) 614-644-9850
OREGON
POC: Dia Shuhart
Signatory: Joel Young, Manager
Oregon Department of Human Services
800 NE Oregon Street
Portland, OR 97232-2162
(ph) 503-373-0364, (fax) 503-373-0313
RHODE ISLAND
POC: Robert Crausman
Signatory: Patricia Nolan, Director
Rhode Island Department of Health
Cannon Building
3 Capitol Hill
Providence, RI 02908-5097
(ph) 401-222-7888, (fax) 401-222-2158
SOUTH DAKOTA
POC: Halley Lee
Signatory: Doneen A. Hollingsworth, Secretary
South Dakota Department of Health
600 East Capitol Avenue
Pierre, SD 57501-3185
(ph) 605-773-6320, (fax) 605-773-2680
TEXAS
POCs: Connie Berry and Clay Daniels
Signatory: Eduardo Sanchez, M.D.
Commissioner of Health
Texas Department of Health
1100 West 49th Street, G-106
Austin, TX 78756-3199
(ph) 512-458-7111
VERMONT
POCs: Dawn Miller and Dennis Bardon
Signatory: Paul Jarris, Commissioner
Vermont Department of Health
108 Cherry Street
P.O. Box 70
Burlington, VT 05491
(ph) 802-951-5179/4006, (fax) 802-651-1634
WASHINGTON
POC: Kristina M. Sparks
Signatory: Kristina M. Sparks
Department of Health
Office of Community & Rural Health
P.O. Box 47834
Olympia, WA 98504-7834
(ph) 360-236-2800, (fax) 360-664-9273
WISCONSIN
POC: Kathie Lenzen
Signatory: Herb H. Bostrom
Wisconsin Division of Public Health
P.O. Box 2659, 1 West Wilson Street
Madison, WI 53701-2659
(ph) 608-264-6528, (fax) 608-261-6392 |
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