Designated State Health Departments and Official Signatures

ALABAMA

Signatory:  Donald E. Williamson, M.D.
                  Alabama Department of Public Health Development
                  The RSA Tower
                  201 Monroe Street, Suite 710
                  P.O. Box 303017
                  Montgomery, AL 36104

Point of Contact:  Janice Cook
                             (ph) 334-206-5610
                             e-mail: Janicecook@adph.state.al.us

Alternate POC:  Barbara A. Mack
                          (ph) 334-206-5436, (fax) 334-206-5434
                          e-mail: Bmack@adph.state.al.us


ALASKA

Signatory:   William Streur, Commissioner
                    Department of Health and Social Services
                    Division of Health Care Services
                    Section of Community Health & Emergency Medical
                    Services
                    P.O. Box 110610
                    Juneau, AK 99811-0610

Point of Contact:   Triptaa Surve, MPH, JD, Public Health Specialist II
                             (ph) 907-334-2640
                             e-mail: Triptaa.Surve@alaska.gov


ARIZONA

Signatory:   Sheila Sjolander, Acting Assistant Director
                    Bureau of Health Systems Development
                    Arizona Department of Health Services
                    1740 W Adams, Suite 410
                    Phoenix, AZ 85007

Point of Contacts:  Ana Roscetti, Workforce Section Mngr.
                               (ph) 602-542-1066, (fax) 602-542-2011
                               e-mail: Rosceta@azdhs.gov


ARKANSAS

Signatory:    Nate Smith, MD, Deputy Director
                     Public Health Programs
                     Arkansas Department of Health and Human Services
                     5800 West Tenth Street, Suite 400
                     Little Rock, AR 72204

Point of Contact: Connie Melton
                            Section Chief of Health Facility Services
                            (ph) 501-661-2201, (fax) 501-661-2165
                            e-mail: Connie.Melton@arkansas.gov


CALIFORNIA

Signatory:   Sandra (Sam) Willburn, Chief
                   California Department of Health Care Services
                   Primary and Rural Health Division
                   1501 Capitol Ave., MS 8000
                   P.O. Box 997413
                   Sacramento, CA 95899

Point of Contact:     Tina Nagy
                               Primary and Rural Health Division
                               California Department of Health Care Services
                               MS 8501
                               PO Box 997413
                               Sacramento, CA 95899-7413
                               (ph) 916-449-5753, (fax) 916-558-5494, (Main) 916-449-5770
                               e-mail: tina.nagy@dhcs.ca.gov


COLORADO

Signatory:    Steve Holloway
                    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) 303-692-2470 (fax) 303-758-3448
                    e-mail: stephen.holloway@state.co.us


CONNECTICUT

Signatory:    Wendy Furniss, R.N.C., MS, Acting Bureau Chief
                    Bureau of Healthcare Systems
                    410 Capitol Avenue - MS #12APP
                    P.O. Box 340308
                    Hartford, CT 06134-0308

Point of Contact:   Steve Carragher
                             (ph) 860-509-7576, (fax) 860-509-8457
                             e-mail: stephen.carragher@po.state.ct.us


DELAWARE

Signatory:   Karyl T. Rattay, MD, MS, FAAP, FACPM, Director,
                   Delaware Division of Public Health
                   Jesse S. Cooper Building
                   P.O. Box 637
                   Dover, DE 19903
                   (ph) 302-744-4818
                   e-mail:Karyl.Rattay@state.de.us

Point of Contact:   Theresa Strawder 
                             655 Bay Road, Suite 206
                             Dover, DE 19901
                             (ph) 302-741-2960, (fax) 302-741-2970
                             e-mail: Theresa.Strawder@state.de.us


DISTRICT OF COLUMBIA    (202) 442-5955

Signatory:   Pierre Vigilance, Director
                   Department of Health
                   825 North Capital Street, NW, 4th Floor
                   Washington, DC 20002-4210

Point of Contact:   Katina Green
                             (ph) 202-442-9168
                             e-mail: Katina.Green@dc.gov


FLORIDA

Signatory:    Ana M. Viamonte Ros
                    Secretary, Department of Health
                    4052 Bald Cypress Way
                    Tallahassee, FL 32399-1700

Point of Contact:   Karen Lundberg
                             (ph) 850-245-4446 ext. 2704
                             (fax) 850-922-6296
                             e-mail: Karen_Lundberg@doh.state.fl.us


GEORGIA   (229) 401-3090

Signatory:    Charles Owens, Executive Director
                    Office of Rural Health Services
                    502 Seventh Street South
                    Cordele, GA 31015-1443

Point of Contact:   Tina Register
                              (ph) 229-401-3076, (fax) 229-401-3077
                              e-mail: TRegister@dch.ga.us


HAWAII   (808) 586-4188     (808) 586-4193

Signatory:   Chyome L. Fukino, M.D.
                    Director of Health
                    Hawaii State Health Department
                    Office of Planning, Policy and Program Development
                    1250 Punchbowl Street, Room - 340
                    Honolulu, HI 96813

Point of Contact:   Maile Burke, Planner
                              (ph) 808-586-4188, (fax) 808-586-4193
                              e-mail: Maile.Burke@doh.hawaii.gov


IDAHO

Signatory:   Jane S. Smith, State Health Official and Administrator
                   Idaho Department of Health and Welfare
                   Division of Health, State Office of Rural Health and Primary Care
                   450 West State Street, 4th Floor
                   P.O. Box 83720
                   Boise, Idaho 83720-0036

Point of Contact:   Laura Rowen
                             Primary Care Program Manager
                             (ph) 208-334-5993, (fax) 208-332-7262
                             e-mail: Rowenl@idhw.state.id.us


ILLINOIS

Signatory:    Eric E. Whitaker, M.D., M.P.H.
                    Director of Public Health
                    535 West Jefferson Street
                    Springfield, IL 62761
                    e-mail: director@idph.state.il.us

Point of Contact:   Bronwyn Jones-Leach
                             (ph) 217-782-1624, (fax) 217-782-2547
                             e-mail: Bjones2@idph.state.il.us


INDIANA    (317) 233-7400

Signatory:   Gregory N. Larkin, State Health Commissioner
                   Indiana State Department of Health
                   2 North Meridian Street
                   Indianapolis, IN 46204

Point of Contact:   Natalie Brown
                             (ph) 317-630-0845
                             e-mail: NBrown@isdh.in.gov


IOWA

Signatory:    Michelle Holst, PCO Director
                    Iowa Department of Public Health
                    Bureau of Health Care Access
                    Lucas State Office Building, 4th Floor, SE
                    Des Moines, IA 50319-0075
                    (ph) 515-954-5674, (fax) 515-242-6384
                    e-mail: michelle.holst@idph.iowa.gov

Point of Contact:   Bobbi Buckner
                             (ph) 515-281-7223
                             e-mail: bbuckner@idph.state.ia.us


KANSAS

Signatory:    Robert Moser, MD, Secretary
                    Kansas Department of Health and Environment
                    Officer of Local and Rural Health
                    1000 SW Jackson, Room 1051-S
                    Topeka, KS 66612-1290

Point of Contact:   Barbara Huske
                             (ph) 785-296-2742
                             (fax) 785-296-1231
                             e-mail: Bhuske@kdheks.gov


KENTUCKY

Signatory:    Christopher Workman
                    Health Care Access Branch
                    Division for Adult and Child Health
                    Department of Health
                    275 East Main Street
                    Frankfort, KY 40621
                    e-mail: chris.workman@ky.gov

Point of Contact:   Gary Williams
                             (ph) 502-564-8966 ext. 3740
                             (fax) 502-564-8389
                             e-mail: GaryL.Williams@ky.gov


LOUISIANA

Signatory:    Gerrelda Davis, Chronic Disease Director
                    Primary Care and Rural Health
                    Louisiana Department of Health & Hospitals
                    Department of Health and Hospitals
                    628 N. 4th Street, Bienville Building
                    P.O. Box 3118
                    Baton Rouge, LA 70821-3118
                    (ph) 225-342-2657, (fax) 225-342-5839
                    e-mail: Gerrelda.Davis@la.gov

Point of Contact:    Jeanne R. Haupt
                              Program Coordinator
                              (ph) 225-342-3506, (fax) 225-342-5839
                              e-mail: Jeanne.Haupt@la.gov


MAINE

Signatory:   Mary C. Mayhew, Commissioner
                   Department of Human Services
                   #1 State House Station
                   Augusta, ME 04333-0001

Point of Contact:   Charles Dwyer, Interim Director
                              Maine Rural Health and Primary Care
                              286 Water Street, 6th Floor, SHS #11
                              Augusta, ME 04333-0011
                              (ph) 207-287-5503, (fax) 207-287-5431
                              e-mail: Charles.Dwyer@maine.gov


MARYLAND

Signatory:    Elizabeth Vaida, Coordinator                        Alternate: Judy Gerahty, Special Assistant
                    Primary Care Organization
                    Office of Health Policy and Planning
                    Department of Health and Mental Hygiene
                    Family Health Administration
                    201 W. Preston Street, Rm. 423
                    Baltimore, MD 21201
                    (ph) 410-767-5695, (fax) 410-333-7501
                    e-mail: Evaidya@dhmh.state.md.us


MASSACHUSETTS

Signatory:    John Auerbach
                    Commissioner of Public Health
                    Department of Public Health
                    250 Washington Street
                    Boston, MA 02108-4619

Point of Contact:   Nicole Watson
                             (ph) 617-624-6023, (fax) 617-624-6062
                             e-mail: Nicole.Watson@state.ma.us


MICHIGAN   (517) 335-8553

Signatory:    Olga Dazzo, Director
                    Michigan Department of Community Health
                    Capitol View Bldg., 7th Floor
                    201 Townsend
                    Lansing, MI 48913

Point of Contact:  Amber Myers
                            (ph) 517-241-2659, (fax) 517-241-1200
                            e-mail: MyersA1@michigan.gov


MINNESOTA

Signatory:   Lawrence Colaizy
                   Provider Recruitment and Retention Coordinator
                   Minnesota Office of Rural Health and Primary Care
                   P.O. Box 64882
                   St. Paul, MN 55164-0882
                   (ph) 651-201-3851, (fax) 651-201-3830
                   e-mail: lawrence.colaizy@health.state.mn.us


MISSISSIPPI

Signatory:    Mary Currier, MD, MPH
                    State Health Officer
                    Mississippi State Department of Health
                    State Office of Rural Health
                    570 East Woodrow Wilson Drive
                    P.O. Box 1700 
                    Jackson, MS 39215-1700
                    e-mail: mary.currier@msdh.state.ms.us

Point of Contact:   Rozelia Harris
                             (ph) 601-576-7216
                             e-mail: rozelia.harris@msdh.state.ms.us


MISSOURI    (ph) 800-891-7415

Signatory:  Ben Harvey, Office Chief
                  Office of Primary Care and Rural Health
                  Missouri Department of Health
                  P.O. Box 570
                  Jefferson City, MO 65102
                  (Ph) 573-751-6219

Point of Contact:   Lee Temmen
                             (ph) 800-891-7415


MONTANA   (ph) 406-444-5622    (fax) 406-444-1970

Signatory:   Anna Whiting Sorrell, Director
                   Department of Public Health and Human Services
                   P.O. Box 4210
                   111 N. Sanders
                   Helena, MT 59604-4210
                   e-mail: AWhiting-Sorrell@mt.gov

Point of Contact:    James H. Nybo
                              Montana Primary Care Office
                              Cogswell Building
                              P.O. Box 202951
                              Helen, MT 59620-2951
                              (ph) 406-444-3574, (fax) 406-444-7465
                              e-mail: jnybo@mt.gov


NEBRASKA

Signatory:    Joann Schaefer, Chief Medical Officer
                    Department of Health and Human Services
                    Office of Rural Health
                    301 Centennial Mall South
                    P.O. Box 95044
                    Lincoln, NE 68509-5044
                    e-mail: Joann.Schaefer@hhss.state.ne.us

Point of Contact:  Tom Rauner, Primary Office Director
                            (ph) 402-471-0148, (fax) 402-471-0180
                            e-mail: thomas.rauner@hhss.ne.gov


NEVADA

Signatory:    Richard Whitley, MS, Administrator
                    Nevada State Health Division
                    4150 Technology Way, Suite 300
                    Carson City, NV 89706-2028

Point of Contacts:    Karen Allen, Program Manager
                                Primary Care Development Center
                                3427 Goni Road, Ste. 108
                                Carson City, NV 89706
                                (ph) 775-684-4041, (fax) 775-684-4046
                                e-mail: kaallen@mvhd.state.nv.us

                                Douglas A. Schrauth
                                Human Resrouce Analyst II
                                (ph) 775-684-4047, (fax) 775-684-4046
                                Dschrauth@nvhd.state.nv.us


NEW HAMPSHIRE

Signatory:   Joan Ascheim, MSN, Bureau Chief (Primary Signatory)
                    Bureau of Public Health Systems, Policy and Performance
                    6 Hazen Drive
                    Concord, NH 03301

Alternate:   Jose Their Montero, MD, Director (Secondary Signatory)
                   Division of Public Health Services

Point of Contact  David Roberts, Workforce Coordinator
                             (ph) 603-271-2276, (fax) 603-271-4506
                             e-mail: DRoberts@dhhs.state.nh.us


NEW JERSEY

Signatory:   Mary E. O'Dowd, MPH.
                    New Jersey Department of Health and Senior Services
                    Family Health Services Division
                    P.O. Box 360
                    Trenton, NJ 08625-0360

Point of Contact:  Dr. Gloria Rodriguez
                            (ph) 609-292-4043, (fax) 609-292-9599                         


NEW MEXICO

Signatory:    Catherine Torres, M.D., Secretary
                    State of New Mexico Department of Health
                    1190 St. Francis Drive, N4100
                    P.O. Box 261110
                    Sante Fe, NM 87502-6110

Point of Contact:   Kim Kinsey
                             (ph) 505-841-5871, (fax) 505-222-8675
                             e-mail: kenbaht.kinsey@state.nm.us

Alternate POC  Gabriel Chavez
                           (ph) 505-841-5866
                           e-mail: gabriel.chavez1@state.nm.us


NEW YORK

Signatory   Richard M. Cook, Deputy Commissioner
                    Office of Health Systems Management
                    New York State Department of Health
                    Empire State Plaza, Corning Tower
                    Albany, NY 12237

Point of Contact:   Barry Gray
                             (ph) 518-473-4700, (fax) 518-474-0572
                             e-mail: BMG01@health.state.ny.us


NORTH CAROLINA

Signatory:    John Price, Acting Director
                    North Carolina Office of Rural Health and Community Care
                    2009 Mail Service Center
                    311 Ashe Avenue
                    Raleigh, NC 27699-2009
                    (ph): 919-733-2040

Point of Contact:  Wanda Greene
                             (ph) 919-733-2040, (fax) 919-733-8300
                             e-mail: wanda.greene@dhhs.nc.gov


NORTH DAKOTA

Signatory:   Terry Dwelle, M.D.
                   State Health Officer
                   North Dakota Department of Health - Dept. 301
                   600 East Boulevard Avenue
                   Bismarck, ND 58505-0200
                   e-mail: tdwelle@state.nd.us

Point of Contact:   Gary Garland
                              (ph) 701-328-4839, (fax) 701-328-1890
                              e-mail: GGarland@state.nd.us


OHIO

Signatory:   Theodore E. Wymyslo, M.D., Director of Health
                   Ohio Department of Health
                   246 North High Street
                   Columbus, OH 43215
                   e-mail: Ted.Wymyslo@odh.ohio.gov

Point of Contact:   Jennifer Bassler
                              (ph) 614-466-1629, (fax) 614-995-4235
                              e-mail: Jennifer.bassler@odh.ohio.gov


OKLAHOMA

Signatory:   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
                   e-mail: stever@health.state.ok.us

Point of Contact:   Espaniola Bowen
                              (ph) 405-271-8427, (fax) 405-271-5493
                              e-mail: Espab@health.ok.gov


OREGON

Signatory:   Tracy Gratto, Delivery System Reform Manager
                   Oregon Health Policy and Research
                   1225 Ferry St. SE, First Floor
                   Salem, OR 97301
                   (ph): 503-480-6533
                   e-mail:Tracey.gratto@state.or.us

 

Point of Contact:   Dia Shuhart
                             (ph) 503-373-0364, (fax) 503-373-0313
                             e-mail: Dia.Shuhart@state.or.us


PENNSYLVANIA

Signatory:    Martin P. Raniowski, Acting Deputy Secretary
                    Pennsylvania Department of Health
                    Division of Health Planning and Assessment
                    625 Forster Street, Room 802
                    Health and Welfare Building
                    Harrisburg, PA 17120-0701
                    (ph) 717-783-8804

Point of Contact:    Karen Heim
                              Public Health Program Administrator
                              (ph) 717-772-5298, (fax) 717-705-6525
                              e-mail: kheim@state.pa.us


RHODE ISLAND

Signatory:  Michael Fine, Interim Director
                  Rhode Island Department of Health
                  Cannon Building
                  3 Capitol Hill
                  Providence,RI 02908-5097
                  e-mail: Michael.Fine@health.ri.gov

Point of Contact:   Bruce McIntyre
                             (ph) 401-222-7890, (fax) 401-222-2158
                             e-mail: Bruce.McIntyre@health.ri.gov


SOUTH CAROLINA   (ph) 803-898-0766   (fax) 803-898-0445

Signatory:   Mark Jordan, Director
                   Office of Primary Care
                   Department of Health and Environment Control
                   2600 Bull Street
                   Columbia, SC 29201
                   e-mail: Jordanma@dhec.sc.gov


SOUTH DAKOTA   (ph) 605-773-3361

Signatory:    Doneen A. Hollingsworth, Secretary
                    South Dakota Department of Health
                    Office of Rural Health
                    600 East Capitol Avenue
                    Pierre, SD 57501-3185

Point of Contact:   Josie Peterson
                             Primary Care Coordinator
                             (ph) 605-773-3517 (fax) 605-773-5683
                             e-mail: josie.peterson@state.sd.us


TENNESSEE

Signatory:    Susan R. Cooper, RN, MSN
                    Commissioner of Health
                    Tennessee Department of Health
                    425 5th Avenue, North
                    Cordell Hull, 6th Floor
                    Nashville, TN 37247-0101
                    e-mail: Susan_Cooper@state.tn.us

Point of Contact:   Ann Cranford, Director
                             (ph) 615-741-2101, (fax) 615-253-2100
                             e-mail: Ann.cranford@state.tn.us


TEXAS    (512) 458-7111

Signatory:    David L. Lakey, M.D.
                    Commissioner
                    Texas Department of State Health Services
                    1100 West 49th Street, G-106
                    Austin, TX 78756-3199

Point of Contacts:   Connie Berry
                               (ph) 512-458-7518 ext. 2172
                               (fax) 512-458-7658
                               e-mail: Connie.Berry@dshs.state.tx.us

                               Clay Daniels
                               (ph) 512-458-7518 ext. 3862
                               e-mail: Clay.Daniel@dshs.state.tx.us


UTAH

Signatory:    Marc Babitz, M.D., Director
                    Utah Department of Health
                    Office of Primary Care and Rural Health
                    Division of Health Systems Improvement
                    3760 South Highland Drive
                    P.O. Box 142005
                    Salt Lake, UT 84114-2005
                    e-mail: mbabitz@utah.gov

Point of Contact:    Erin L Olsen
                              Support Coordinator, J-1 Visa Waiver
                              (ph) 801-273-6618, (fax) 801-273-4146
                              e-mail: elolsen@utah.gov


VERMONT

Signatory:    Henry Chen, MD, Commissioner
                    Vermont Department of Health
                    108 Cherry Street
                    P.O. Box 70
                    Burlington, VT 05401
                    e-mail: harry.chen@ahs.state.vt.us

Alternate Contact:   John A. Olson, Chief
                              Office of Rural Health & Primary Care
                              Vermont Department of Health
                              108 Cherry Street
                              P.O. Box 70
                              Burlington, VT 05401
                              (ph) 802-951-1259
                              e-mail: john.olson@ahs.state.vt.us


VIRGINIA    (804) 864-7427

Signatory:    Keisha Smith, MD, Health Workforce Incentives Program Manager
                    Virginia Department of Health
                    Office of Health Policy and Planning
                    109 Governor Street, Suite 1016-East
                    Richmond, VA 23219
                    e-mail: keisha.smith@vdh.virginia.gov
                    (ph) 804-864-7431

Point of Contact:   Marshall Brooks
                              (ph) 804-864-7436, (fax) 804-864-7440
                              e-mail: Marshalld.brooks@vdh.virginia.gov


WASHINGTON

Signatory:    Kristina M. Sparks, Director
                    Department of Health
                    Office of Community & Rural Health
                    P.O. Box 47834
                    Olympia, WA 98504-7834
                    (ph) 360-236-2800, (fax) 360-664-9273
                    e-mail: kris.sparks@doh.wa.gov


WEST VIRGINIA   (ph) 304-558-0684   (fax) 304-558-1130

Signatory:   Michael J. Lewis, M.D., Ph.D
                   Department of Health & Human Resources (WVDHHR)
                   Building 3, Room 206
                   State Capitol Complex
                   Charleston, WV 25305


Point of Contact:    Melissa Wheeler, Director
                              Bureau for Public Health
                              Office of Community and Rural Health Services
                              Division of Recruitment
                              350 Capitol Street, Room 515
                              Charleston, WV 25301-3716
                              (ph) 304-558-7056


WISCONSIN   (608) 266-1251

Signatory:  Henry A. Anderson, MD, State Health Officer and Chief Medical Officer
                  Environmental & Occupational Health
                  Wisconsin Division of Public Health
                  P.O. Box 2659, 1 West Wilson Street
                  Madison, WI 53701-2659

Point of Contact:   Anne Dopp, Program Director
                             (ph) 608-267-7121, (fax) 608-266-2584
                             Email: anne.dopp@wisconsin.gov


WYOMING

Signatory  Sharla Allen, M.S.H.A., Deputy Administrator
                   Wyoming Department of Health
                   Rural and Frontier Heath Division
                   6101 Yellowstone Road, Suite 510
                   Cheyenne, WY 82002
                   (ph) 307-777-6970

Point of Contact:   Jeff Hopkins
                             Healthcare Recruitment and Workforce Specialist
                             (ph) 307-777-2930, (fax) 307-777-8545
                             e-mail: Jhopki@state.wy.us

 

MISCELLEANEOUS TERRITORIES

GUAM

Signatory:   James W. Gillan, Director                   
                   Department of Public Health and Social Services
                   P.O. Box 2816
                   Agana, Guam 96932

Point of Contact:   Cynthia Naval, MS Planner IV
                              (ph) 671-735-7307, (fax) 671-734-2066
                              e-mail: cinaval@dphss.govguam.net


PUERTO RICO    (ph) 787-765-0615   (fax) 787-759-8908

Signatory:   Maria S. Conte-Miller, Executive Director
                   P.O. Box 11878 Caparra Heights Station
                   San Juan, Puerto Rico  00922-1878
                   (ph) 787-765-0615  (fax) 787-759-8908
                   Email: MConte@icf.gobieron.pr


Point of Contact:    Luis Vazquez, Assistant Director
                              (ph) 787-200-7165
                              e-mail: lavazquez@icf.gobierno.pr


SAIPAN  (Marianas Protectorate)  (Northern Mariana Islands)

Signatory:    Shirish Balanchandra, M.D.
                    Commonwealth of the Northern Mariana Islands
                    Department of Public Health
                    Commonwealth Health Center
                    1 Lower Navy Hill
                    P.O. Box 500409 
                    Saipan, MP 96950 
                    Email: saipanbala@gmail.com

Point of Contact:    Chad C. Lowe, D.O.
                              (ph) +1-670-234-8950    (fax) +1-670-236-8756     
                              e-mail: lowedo@gmail.com


VIRGIN ISLANDS  

Signatory Fern P. Clarke, Acting Commissioner
                  Virgin Islands Department of Health
                  1303 Hospital Ground, Ste. 10
                  St. Thomas, VI 00802-6722
                  Tel: (340)-774-0117 Fax: (340)-777-4001

Point of Contact:   Shaniece Charlemagne, MPH, MHA Director
                              VI Primary Care Office
                              VI Department of Health
                              Charles Harwood Complex
                              3500 Est. Richmond
                              Christiansted, VI 00802-4370
                              (ph) 340-773-1311 ext 3173, (fax) 340-773-1376
                              e-mail: Shaniece.charlemagne@usvi-doh.org