Signatory:
Thomas M. Miller, M.D., Acting State Health Officer
Alabama Department of Public Health Development
The RSA Tower
201 Monroe Street, Suite 710
P.O. Box 303017
Montgomery, AL 36104
Point of Contact:
Karl Bryant
(ph) 334-206-5517
(fax) 334-206-5434
E-mail: Karl.Bryant@adph.state.al.us
Signatory:
Heidi Hedberg, Commissioner
Alaska Department of Health
Director of Division of Public Health
3601 C Street, Suite 424
Anchorage, AK 99503
Point of Contact:
Tricia Franklin, Unit Manager
Email: Tricia.Franklin@alaska.gov
(Ph) 907-269-3445
Signatory:
Sheila Sjolander, Assistant Director
Division of Public Health – Prevention Services
Arizona Department of Health Services
150 N. 18th Street, Suite 320
Phoenix, AZ 85007
Point of Contact:
Yahaira Pauwells, Primary Care Office
Email: J1@azdhs.gov
Signatory:
Renee Mallory, Chief of Staff
Public Health Programs
Arkansas Department of Health and Human Services
5800 West Tenth Street, Suite 400
Little Rock, AR 72204
Point of Contact:
Anne Williams
(Ph) 501-648-6661
Email: Anne.e.williams@arkansas.gov
Signatory:
Elisabeth Abbott, Deputy Director
Department of Health Care Access and Information (HCAI)
Healthcare Workforce Development Division
2020 West El Camino Avenue
Sacramento, CA 95833
Alternate Signatory:
Hovik Khosrovian, Senior Policy Advisor
Point of Contact:
J-1 Visa Waiver Program Coordinator
(Ph) 916-449-5770 (Fax) 916-449-5777
Email: J1VisaWaiverProgram@oshpd.ca.gov
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) 303-692-2582 (fax) 303-758-3448
e-mail: stephen.holloway@state.co.us
Point of Contact:
Natalie Kwofie
Workforce Programs and Policy Specialist
(ph) 303-692-2514 (fax) 303-758-9013
e-mail: Natalie.Kwofie@state.co.us
Signatory:
Manisha Juthani, Commissioner
Office of Health Equity/Commissioner’s Office
Connecticut Department of Public Health
410 Capitol Avenue – MS #13PHSI
Hartford, CT 06134-0308
Point of Contact:
Justin Hamrick, Associate Research Analyst
(Ph) 860-509-7465
E-mail: Justin.Hamrick@ct.gov
Signatory:
Steven Blessing, Director
Delaware Division of Public Health
Delaware Dept. of Health and Social Services
417 Federal Street
Dover, DE 19901
Point of Contact:
Stephanie Nostrom
J1 Visa Program Manager
655 Bay Road, Suite 206
Dover, DE 19901
(Ph) 302-741-8628 (Fax) 302-741-8631
E-mail: Stephanie.Nostrom@delaware.gov
Signatory:
Ayanna Bennett, Acting Director
District of Columbia Department of Health (DC Health)
Community Health Administration
Health Care Access Bureau – Primary Care Office
899 N. Capital St., NE, 5th Floor
Washington DC 20002
(ph) 202-442-5955
Point of Contact:
Geraldine (Ginger) Pierce,
Visa Waiver Program Coordinator
(Phone) 202-442-5892 (Fax) 202-442-4948
Email Geraldine.pierce@dc.gov
Signatory:
Cassandra G. Pasley, Chief of Staff
Florida Department of Health
4052 Bald Cypress Way
Tallahassee, FL 32399-1700
Point of Contact:
Jeffrey Johnson
(Ph) 850-617-1471
Email: Jeffrey.Johnson@flhealth.gov
Signatory:
Dean Burke, Chief Medical Officer
State Office of Rural Health Services
502 7th Street South
Cordele, GA 31015-144
Point of Contact:
Beth Walker
(ph) 229-276-2750, (fax) 229-401-3077
Email: Beth.walker@dch.ga.gov
Signatory:
Deborah K. Morikawa
Hawaii State Health Department
Office of Planning, Policy and Program Development
1250 Punchbowl Street, Room - 340
Honolulu, HI 96813
Point of Contact:
R. Scott Daniels
(ph) 808-961-9460, (fax) 808-961-9461
Email: RogerScott.Daniels@doh.hawaii.gov
Signatory:
Elke D. Shaw-Tulloch, State Health Official and Administrator
Idaho Department of Health and Welfare
Division of Public 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:
Alex Prado, Primary Care Program Manager
(Ph) 208-334-5993
Email: Alex.prado@dhw.idaho.gov
Signatory:
Sameer Vohra, MD, JD, MA, Director
Illinois Department of Public Health
Director of Public Health
535 West Jefferson Street
Springfield, Il 62761
Point of Contact:
Kandice Kent
E-mail: Kandice.Kent@illinois.gov
OR
Kristen Nolen
(Phone) 217-782-1624
E-mailL Kristen.n.nolen@illinois.gov
Signatory:
Kristina M. Box, MD, FACOG
State Health Commissioner
Indiana State Department of Health
2 North Meridian Street. 6th Floor
Indianapolis, IN 46204
Point of Contact:
Ann Alley
(Ph) 317-233-7451 (Fax) 317-234-2275
Email: AAlley@isdh.in.gov
Or
Brachston Grubbs, Primary Care Office and Database Manager
(Ph) 371-234-5673
Email: BGrubbs@isdh.in.gov
Signatory:
Susan Dixon, MPA, MSS, Chief
Policy and Workforce Services Bureau
Iowa Department of Public Health
321 E 12th Street
Des Moines, IA 50319-0075
(Ph) 515-725-2183
Email: Susan.dixon@idph.iowa.gov
Point of Contact:
Bobbi Buckner
(ph) 515-281-7223
e-mail: bbuckner@idph.state.ia.us
Signatory:
Janet Stanek, Secretary
Bureau of Community Health Systems
Office of Primary Care and Rural Health
Kansas Department of Health and Environment
1000 SW Jackson Street, Ste. 340
Topeka, KS 66612-1365
Point of Contact:
Ashley Templin, Workforce Program Analyst
Email: kdhe.primarycare@ks.gov
Signatory:
Steven J. Stack, Commissioner
Kentucky Department for Public Health
Health Care Access Branch
Division of Prevention and Quality Improvement
275 East Main Street, Mail Stop HS1GWA
Frankfort, KY 40621
(Ph) 502-564-3970 (Fax) 502-564-9377
E-mail: steven.stack@ky.gov
Point of Contact:
Kasey Padgett, Health Program Administrator
(Phone) 502-564-8966 ext 4011 (Fax) 502-564-0655
Email: Kasey.padgett@ky.gov
Signatory:
Melissa R. Martin, Director
Primary Care and Rural Health
Louisiana Department of Health & Hospitals
628 N. 4th Street, Bienville Building
P.O. Box 3118
Baton Rouge, LA 70821-3118
Email: Melissa.Martin@la.gov
Alternate Signatory:
Nicole P. Coarsey, Primary Care Officer
(Ph) 225-342-1583
(Fax) 225-342-5839
Email: Nicole.Coarsey@la.gov
Point of Contact:
Darmyra Perry, Manager
Primary Care Office
(Ph) 225-219-7061
Email: Darmyra.Perry@la.gov
Signatory:
Jeanne M. Lambrew, Commissioner
Department of Health and Human Services
221 State Street
11 State House Station
Augusta, ME 04333-0001
Point of Contact:
Erica Dyer, Office Associate II
Maine Rural Health and Primary Care
41 Anthony Avenue
11 State House Station
Augusta, ME 04333-0011
(Ph) 207-287-5562, (Fax) 207-287-5431
E-mail: Erica.Dyer@maine.gov
Signatory:
Kimberly Hiner, MPH, Acting Director
Office of Population Health Improvement
Maryland Department of Health and Mental Hygiene
201 W. Preston Street, Rm. 423
Baltimore, MD 21202
(Ph) 410-767-5595
E-mail: cheryl.depinto@maryland.gov
Point of Contact:
Cynthia Meno, Program Mngr. (Ph) 775-684-4279 Email: cmeno@dhcfp.nv.gov
Signatory:
Margret Cooke, Commissioner
Department of Public Health
250 Washington Street
Boston, MA 02108-4619
Point of Contact:
Troy Cox, Healthcare Workforce Coordinator
Email: Troy.D.Cox@mass.gov
Signatory:
Ninah Sasy, Director
Division of Policy and Planning
Office of Policy, Planning and Legislative Services
Michigan Department of Health and Human Services
P.O. Box 30195
Lansing, MI 48909
Point of Contact:
Sarah Kleis
Email: KleisS2@michigan.gov
Signatory:
Daniel Edney, 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
Email: Ed.Thompson@msdh.state.ms.us
Point of Contact:
Teia McCormick: (Ph) 769-209-5804
Email: Teia.mccormick@msdh.ms.gov
Signatory:
Valerie Howard, Chief
Office of Rural Health and Primary Care
Missouri Department of Health and Senior Services
P.O. Box 570
Jefferson, City, MO 65102
(Phone): 573-751-1928
Point of Contact:
Aleesha Jones
(Phone) 800-891-7415
Email: Aleesha.Jones@health.mo.gov
Signatory:
Charles Brereton, Director
Montana Department of Public Health and Human Services
111 N. Sanders, Rm. 301
Helena, MT 59620
E-mail: Charles.brereton@mt.gov
Point of Contact:
Michael Mahoney, PCO Program Specialist
Montana Primary Care Office
1625 11th Avenue
Helena, MT 59620-2951
(Ph) 406-444-3934
Email: Michael.Mahoney@mt.gov
Signatory:
Heidi Peirce, Director of Primary Care
Department of Health and Human Services
Division of Public Health
301 Centennial Mall South
P.O. Box 95026
Lincoln, NE 68509-5026
(Ph) 402-471-0148 (Fax) 402-471-0180
Email: Heidi.peirce@nebraska.gov
Point of Contact:
Thomas Rauner, MMCRP, Director of Primary Care
(Ph) 402-471-0148 (Fax) 402-471-0180
Email: Thomas.rauner@nebraska.gov
Signatory:
Cody Phinney, Administrator
Division of Public and Behavioral Health
Nevada State Health Division
4150 Technology Way, Suite 3001
Carson City, NV 89706-2028
Email: LSherych@health.nv.gov
Alternate Signatory:
Kyle Devine, Deputy Administrator
Point of Contact:
Tarryn Emmerich-Choi
Email: temmerichchoi@health.nv.gov
Signatory:
Patricia Tilley, MS Ed
Director, Division of Public Health Services
New Hampshire Department of Health and Human Services
Rural Health and Primary Care Section
29 Hazen Drive
Concord, NH 03301-6504
Email: Patricia.Tilley@dhhs.nh.gov
Alternate Signatory:
Iain Watt, Deputy Director, Bureau of Public Health Services
Point of Contact:
Alisa Druzba, Administrator
(Ph) 603-271-5934 (Fax) 603-271-4506
E-mail: Alisa.G.Druzba@dhhs.nh.gov
Signatory:
Kaitlan Baston, MD, MSc, DFASAM, Acting CommissionerNew Jersey Department of Health
Community Health Services Division
P.O. Box 360
Trenton, NJ 08625-0360
Point of Contact:
Damon Koslow, Program Coordinator
609-984-5886
Damon.Koslow@doh.nj.gov
Signatory:
Timothy Lopez, Bureau Chief, Office of Primary Care and Rural Health
State of New Mexico Department of Health
1190 St. Francis Drive, N4100
P.O. Box 261110
Santa Fe, NM 87502-6110
Point of Contact:
Jasmin Hendrickson, Program Coordinator
Phone: 505-222-8672
Fax: 505-222-8675
E-mail: Jasmin.Hendrickson@state.nm.us
Alternate POC:
Gabriel Chavez
(ph) 505-841-5866
e-mail: gabriel.chavez1@state.nm.us
Signatory:
Karen Madden, Director
Center for Health Care Policy and Resource Development Center
Office of Primary Care and Health Systems Management
New York State Department of Health
Empire State Plaza, Corning Tower
Albany, NY 12237
Alternate Signatory:
Cheryl Dallesandro, Director, Div of Workforce Transformation
Point of Contact:
Helen Crane, Program Administrator
(Ph) 518-473-7019
E-mail: helen.crane@health.ny.gov
Ashley Paduano
E-mail: Ashley.Paduano@health.ny.gov
Signatory:
Margaret L. Sauer, MS, MHA, Director
Office of Rural Rural Health and Community Care
NC Department of Health and Human Services
2009 Mail Service Center
311 Ashe Avenue
Raleigh, NC 27699-2040
(PH): 919-527-6460
Point of Contact:
Karen Gliarmis
(PH): 919-527-6452
Toll Free: 1-800-533-8847
(Fax) 919-715-1503
Email: Karen.Gliarmis@dhhs.nc.gov
Signatory:
Nizar Wehbi
State Health Officer
North Dakota Department of Health - Dept. 301
600 East Boulevard Avenue
Bismarck, ND 58505-0200
Point of Contact:
Stacy Kusler
(ph) 701-328-4839, (fax) 701-328-1890
e-mail: stacy.kusler@und.edu
Signatory:
Bruce Vanderhoff, M.D. MBA, Director
Ohio Department of Health
246 North High Street
Columbus, OH 43215
e-mail: Director@odh.ohio.gov
Alternate Signatory:
Lance D. Himes, Asst. Director, Dir. Office
Point of Contact:
Hend Mostafa, MPH
(ph) 614-466-1629 (fax) 614-995-4235
e-mail: Hend.Mostafa@odh.ohio.gov
Signatory:
Jana Castleberry, Director
Office of Primary Care
Oklahoma State Department of Health
123 Robert Kerr Avenue
Oklahoma City, OK 73102
(Ph) 405-243-8333
Email: JanaC@health.ok.gov
Point of Contact:
Jana Castleberry
(ph) 405-271-9444 ext.56520
e-mail: JanaC@health.ok.gov
Signatory:
Neelam Gupta, Director
Oregon Department of Human Services
Oregon Primary Care Office
500 Summer St. NE, E-65
Salem, OR 97301
(ph): 503-373-1791
Point of Contact:
Dia Shuhart
(ph) 503-373-0364, (fax) 503-373-0313
e-mail: Dia.Shuhart@oha.oregon.gov
Signatory:
Edward G. Naugle, Director, Primary Care Office
Pennsylvania Department of Health
625 Forster Street, Room 1031
Health & Welfare Building
Harrisburg, PA 17120-0701
Point of Contact:
Jacqueline Austin
Public Health Program Administrator
(ph) 717-772-5298, (fax) 717-705-6525
jaaustin@pa.gov
Signatory:
Utpala Bandy, MD, MPA, Interim Director
Rhode Island Department of Health
Cannon Building
3 Capitol Hill
Providence, RI 02908-5097
Utpala.Bandy@health.ri.gov
Alternate Signatory:
Sandra Powell, Deputy Director
Point of Contact:
Jill D’Errico
Phone – 401-222-1488
Jill.Derrico@health.ri.gov
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
(ph) 803-898-0766 (fax) 803-898-0445
Signatory:
Melissa Magstadt, Secretary of Health
South Dakota Department of Health
Office of Rural Health
600 East Capitol Avenue
Pierre, SD 57501-3185
Point of Contact:
DeAnn Sprenger, Recruitment Program Coordinator
(Ph) 605-773-2706 (Fax) 605-773-5683
Email: DeAnn.Sprenger@state.sd.us
Signatory:
Ralph Alvarado, MD, FACP, Commissioner
Interim Commissioner
Tennessee Department of Health
710 James Robertson Parkway
Andrew Johnson Tower, 5th Floor
Nashville, TN 37243
Point of Contact:
Ann Cranford, Director
(ph) 615-741-2101, (fax) 615-253-2100
e-mail: Ann.cranford@tn.gov
Signatory:
Jennifer Shuford, M.D. M.P.H., Commissioner
Texas Department of State Health Services
1100 West 49th Street
Austin, TX 78756-3199
(ph) 512-776-7111
Point of Contacts:
Email: Conrad30@dshs.texas.gov
Signatory:
Marc Watterson, Director
Office of Primary Care and Rural Health
Division of Health Systems Improvement
Utah Department of Health
288 N 1460 West, 4th Floor
P.O. Box 142005
Salt Lake, UT 84116
Email: Amoretz@utah.gov
Points of Contact:
Anna West, Workforce Development Coordinator
(Ph) 801-231-3044
Email: Awest@utah.gov
Amanda De Lucia, Office Manager
Email: Ade@utah.gov
Signatory:
Mark Levine, MD, Commissioner
Vermont Department of Health
108 Cherry Street
P.O. Box 70
Burlington, VT 05401
e-mail: harry.chen@ahs.state.vt.us
Point of Contact:
Luca Fernandez
Phone: 802-859-5921
Email: Luca.Fernandez@vermont.gov
Signatory:
Sandra Serna, Director
Virginia Department of Health
Office of Health Equity
109 Governor Street, Suite 1016-East
Richmond, VA 23219
Point of Contact:
Olivette Burroughs
Statewide Health Workforce Mngr
(Ph) 804-864-7431
Email: olivette.burroughs@vdh.virginia.gov
Signatory:
Patricia Justis, Executive Director
Office of Community Health Systems
Department of Health
P.O. Box 47853
Olympia, WA 98504-7853
(Ph) 360-236-2805, (Fax) 360-236-2830
Email: Patricia.Justis@doh.wa.gov
Alternate Signatory
Kelly Shaw, Rural Workforce Director
Email: Kelly.Shaw@doh.wa.gov
(Ph) 360-480-8693
Signatory:
Sherri A. Young, DO, MBA, FAAFP
Interim Cabinet Secretary
Department of Health & Human Resources (WVDHHR)
Building 3, Room-206
State Capitol Complex
Charleston, WV 25305
Point of Contact:
Bethlhem Amare, J-1 Visa Coordinator
West Virginia State Office of Rural Health
Division of Rural Health and Recruitment
350 Capitol Street, Room-515
Charleston, WV 25301-3716
(Ph) 304-356-4217
(Fax) 304-558-1437
Email: Bethlhem.s.amare@wv.gov
Signatory:
Debra Standridge, Deputy Secretary
Wisconsin Division of Public Health
P.O. Box 2659, 1 West Wilson Street
Madison, WI 53701-2659
Point of Contact:
Jaime Olson, Primary Care Coordinator
Phone: 608-267-1440 (Fax) 608-267-2832
E-mail: Jaime.Olson@dhs.wisconsin.gov
Signatory:
Keri Wagner, Healthcare Workforce and Primary Care Office Manager
Wyoming Department of Health
Rural and Frontier Heath Division
122 W 25th St, Ste 102E
Cheyenne, WY 82002
(ph) 307-777-6970
Point of Contact:
Keri Wagner
Healthcare Workforce and Primary Care Office Manager
(ph) 307-777-6512, (fax) 307-777-3623
e-mail: Keri.Wagner@wyo.gov
Signatory:
Arthur U. San Agustin, Director
Department of Public Health and Social Services
P.O. Box 2816
Agana, Guam 96932
Email: Arthur.SanAgustin@dphss.guam.gov
Point of Contact:
Cynthia Naval, MS Planner IV
(ph) 671-735-7307, (fax) 671-734-2066
e-mail: cinaval@dphss.govguam.net
Signatory:
Dr. Carlos R. Mellado Lopez, Secretary
Puerto Rico Department of Health
P.O. Box 70184
Sun Juan, Puerto Rico 00936-0184
Email: Drcarlos.mellado@salud.pr.gov
Point of Contact:
Mrs. Nadia Gardana
Auxiliary Secretariat of Planning and Development
(Ph) 787-765-2929 Ext. 3708
Email: NGardana@salud.pr.gov
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
Signatory:
Janis Valmond, MS, DrPH, CHES
Deputy Commissioner
Virgin Islands Department of Health
Charles Harwood Complex
3500 Estate Richmond
Christiansted, VI 00802
Email: Janis.valmond@doh.vi.gov
Point of Contact:
Berlina Wallace-Berube, MACP, MEd, LPC
Director, Primary Care Office
VI Department of Health
Charles Harwood Complex
3500 Est Richmond
Christiansted, VI 00820-4370
(Ph) 340-718-1311 ext 3755, (Fax) 340-773-1376
E-mail: Berlina.Wallace-Berube@doh.vi.gov
