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
