ALABAMA
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
Contact person: Charles S. Lail,
Rural Health Programs Manager

ALASKA (Not Active) (907) 465-3090
Peter M. Nakamura, M.D., M.P.H., Director
Department of Health and Social Services
Division of Public Health
P.O. Box 110610
Juneau, AK 99811-0610

ARIZONA (602) 542-1219
James R. Allen, M.D., M.P.H., ADHS, Director
Bureau of Health Systems Development
Arizona Department of Health Services
1740 West Adams, Room 312
Phoenix, AZ 85007
Contact person: Doug Hirano, Chief

ARKANSAS (501) 661-2771
Individual authorized to review and submit applications:
Charles McGrew, Director
Section of Health Facility Services & Systems
Arkansas Department of Health
5800 West Tenth Street, Suite 401
Little Rock, AR 72204

Individual authorized to sign waiver request applications:
Sandra B. Nichols, M.D., Director
Arkansas Department of Health
4815 West Markham, Slot 39
Little Rock, AR 72204

CALIFORNIA (Not Designated)

COLORADO (303) 692-2478
Sue Rehak, Director
Rural & Primary Health Policy and Planning
Colorado Department of Public Health
4300 Cherry Creek Drive South
Denver, CO 80222

CONNECTICUT (960) 509-7579
Cynthia Denne, Director
Division of Regulatory Services
Connecticut State Department of Public Health
J1 VISA WAIVER
410 Capital Avenue - MS#13COM
P.O. Box 340308
Hartford, CT 06134
Contact person: Steve Carragher

DELAWARE (302) 739-4700
Ulder J. Tillman, M.D., MPH
Jesse Cooper Building
Division of Public Health
P.O. Box 637
Dover, DE 19903

DISTRICT OF COLUMBIA (202) 442-5999
Ivan C. A. Walks, M.D., Director
Department of Health
825 North Capitol Street, N.E., 4th floor
Washington, D.C. 20002-4210

FLORIDA (850) 487-2044/1-800-342-8660
Robert G. Brooks, M.D.
Florida Department of Health
2020 Capital Circle SE
Tallahassee, FL 32399-1700

GEORGIA (404) 657-6620
Monique Rigard
Office of Rural Health and Primary Care
2 Peachtree Street, 6th floor annex
Atlanta, GA 30303

HAWAII (808) 586-4188
William H. Dendle, III
Hawaii State Health Department
Office of Planning, Policy and Program Development
1250 Punchbowl Street, Room 340
Honolulu, HI 96813

Signature must be from:
Jeanette Takamura, Ph.d., Deputy Director

IDAHO (Not Active)
Richard H. Schultz, Adminstrator
Division of Health
Idaho Department of Health and Welfare
P. O. Box 83720
Boise, ID 83720-0036

ILLINOIS (217) 782-1624
John R. Lumpkin, M.D.,
Director of Public Health
Illinois Department of Public Health
535 West Jefferson Street
Springfield, IL 62761

Contact person: Mary Cathering Ring,
Chief, Center for Rural Health

INDIANA (317) 233-7400
Richard D. Feldman, M.D.
State Health Commissioner
Indiana State Department of Health
2 North Meridian Street
Indianapolis, IN 46204

IOWA (515) 281-7223
Carl A. Kulczyk, Program Planner
Iowa Department of Public Health
Lucas State Office Bldg. - 3rd floor
Des Moines, IA 50319-0075

KANSAS (785) 296-1200
Richard Morrissey, Interim Director
Division of Health
Kansas Department of Health and Environment
1000 SW Jackson, Suite 340
Topeka KS 66612-1365
(fax) 785-296-1231

Contact Person: Barbara J. Gibson, Director Primary Care Office

KENTUCKY (502) 564-8966
Danise Newton, Manager
Primary Care Branch
Department for Health Services
275 East Main Street
Frankfort, KY 40621

LOUISIANA (Not Designated)

MAINE (207) 624-5424/5431
Kevin W. Concannon, Commissioner
Department of Human Services
# 11 State House Station
Augusta, ME 04333-0011

Contact person: Sophie Glidden, Director

MARYLAND (410) 767-5602
Antoinette Coward, Administrator
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

MASSACHUSETTS
Howard K. Koh, M.D., MPH
Commissioner of Public Health
Department of Public Health
250 Washington Street
Boston, MA 02108-4619

Contact person(s): Catherine Sibble (617) 624-6043 or Lisa Levine (617) 624-6028

MICHIGAN (517) 335-8553
James K. Haveman, Jr.
Michigan Department of Public Health
3423 N. Martin Luther King Jr. Blvd.
P.O. Box 30195
Lansing, MI 48909

Contact person: Steven L. Creamer,

MINNESOTA (651) 282-3851
Lawrence Colaizy, Director
Minnesota Office of Rural Health and Primary Care
P.O. Box 64975
St. Paul, MN 55164
Email: lawrence.colaizy@health.statemn.us
Fax: (651) 297-5808
TDD/TTY: (651) 215-8980

MISSISSIPPI (601) 576-7939
Margaret Morton
Bureau of Field Services
Mississippi Department of Health
P.O. Box 1700
570 East Woodrow Wilson Drive
Jackson, MS 39215-1700
Contact person: Perelia Taylor (601) 576-7216
Fax: (601) 576-7823

MISSOURI (573) 751-6400
Harold Kirbey, Bueau Chief
Health Systems Research and Development
Missouri Department of Health
P. O. Box 570
Jefferson City, MO 65102

MONTANA (Not Active) (406) 444-2544
Robert J. Robinson, Director
Department of Health & Environmental Sciences
Cogswell Building
P.O. Box 20091
Helena, MT 59620-0901

NEBRASKA (402) 471-2337
Richard Raymond, M.D.
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

NEVADA (702) 687-1871
Yvonne Sylva, Administrator
State Health Officer
Nevada State Health Division
505 E. King Street, Room 201
Carson City, NV 89701

NEW HAMPSHIRE (603) 271-4638
Dianne Lubby, Director
Office of Health Management
Department of Health and Human Services
95 N. State Street
Concord, NH 03301

Contact person: Sadhana Hall, Primary Care Coordinator

NEW JERSEY (609) 984-1384
Christine Grant, Commissioner
Department of Health and Senior Services
P. O. Box 360
Trenton, NJ 08625-0360

Contact person: Celeste Andriot Wood

NEW MEXICO (505) 841-8365
J. Alex Valdez, Secretary
State of New Mexico Department of Health
1190 St. Francis Drive
P. O. Box 261110
Sante Fe, NM 87502-6110

Contact person: Jake Castellano, Division Director

NEW YORK (518) 473-4700
Judith Arnold, Deputy Commissioner
Planning, Policy and Resource Development
New York State Department of Health
Empire State Plaza, Corning Tower
Albany, NY 12237

Contact person: Jean Moore, Director

NORTH CAROLINA (919) 733-2040
James D. Berstein, Director
North Carolina Office of Rural Health and Resource Development
311 Ashe Avenue
Raleigh, NC 27606

NORTH DAKOTA (701) 328-2372
Murray G. Sagsveen
State Health Officer
State Department of Health
600 East Boulevard Avenue
Bismarck, ND 58505-0200

OHIO (614) 644-8521
Nick J. Baird, M.D.
Director of Health
Ohio Department of Health
P. O. Box 118
Columbus, OH 43266-0118

Contact person: Joel Mariotti

OKLAHOMA (Not Active) (405) 271-5585 (ph) (405-271-5493 (fax)

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

Contact person: Cari Thompson (405) 271-8427

OREGON (Not Designated)

PENNSYLVANIA (717) 772-5298
Robert S. Zimmerman, Jr.
Secretary of Health
Pennsylvania Department of Health
Attn: Constance Hanna
P. O. Box 90
Harrisburg, PA 17108

Contact person: Constance B. Hanna, Public Health Program Adminstrator

RHODE ISLAND (401) 277-2231
Patricia Nolan, M.D., MPH, Director
Rhode Island Department of Health
Cannon Building
3 Capitol Hill
Providence, RI 02908-5097

SOUTH CAROLINA (803) 737-3995
Mark Jordan, Director
Office of Primary Care
Department of Health and Environmental Control
2600 Bull Street
Columbia, SC 29201

SOUTH DAKOTA (Not Active) 1-800-738-2301
Doneen A. Hollingsworth, Secretary
South Dakota Department of Health
600 East Capitol Avenue
Pierre, SD 57501-3185

TENNESSEE (615) 741-4007
Dr. Fredia Wadley
State Health Officer
Tennessee Department of Health
425 Fifth Avenue, North
Cordell Hull, 3rd floor
Nashville, TN 37247-0101

Contact person: Michael Gregory

TEXAS (Not Active) (512) 458-7375
Dr. David Smith, Commissioner
Texas Department of Health
1100 West 49th Street
Austin, TX 78756-3199

UTAH (801) 538-6113 (ph) (801) 538-6387 (fax)
Sandra A. Assanik
Primary Care Coordinator
Bureau of Primary Care, Rural & Ethnic Health
Utah Department of Health
288 North 1460 West, 4th Floor
P. O. Box 142005
Salt Lake City, UT 84114-2856

VERMONT (802) 863-7280
Jan K. Carney, M.D., MPH, Commissioner
Vermont Department of Health
108 Cherry Street
P. O Box 70
Burlington, VT 05402

Contact person: Ellen B. Thompson

VIRGINIA (804) 786-4891
Brunilda A. Caro-Justin
Center for Primary Care Resource Development
Virgina Department of Health
1500 E. Main Street, Suite 227
Richmond, VA 23219

WASHINGTON (206) 753-5871
Kristina M. Sparks, Director
Department of Health
Office of Community & Rural Health
P. O. Box 47834
Olympia, WA 98504-7834

WEST VIRGINIA (304) 558-4382
Joan E. Ohl, Secretary
Department of Health & Human Resources
Building 3, Room 206
State Capitol Complex
Charleston, WV 25305

Application to go to the following for review:

Linda Atkins, Director
Bureau for Public Health
Office of Community and Rural Health Services
Division of Recruitment
350 Capitol Street, Room 515
Charleston, WV 25301-3716

WISCONSIN (608) 266-1511
John D. Chapin, Administrator
Wisconsin Division of Health
P. O. Box 309
Madison, WI 53701-0309

WYOMING (Not Designated)

MISCELLANEOUS TERRITORIES:

GUAM (671) 735-7102
Dennis G. Rodriguez, Director
Department of Public Health and Social Services
P. O. Box 2816
Agana, Guam 96932

PUERTO RICO (787) 274-7604/7605
Carmen Feliciano de Melecio, M. D.
Secretary of Health
Department of Health
P. O. Box 70184
San Juan, Puerto Rico

VIRGIN ISLANDS (340) 774-0117
Wilbur K. Callender, M. D., Commissioner
Department of Health
48 Sugar Estate
St. Thomas, U.S.V.I. 00802