State/Jurisdiction Contact Information for Providers Interested in Providing H1N1 Vaccine* State/Jurisdiction
Alabama
Website ORDER (Requests for H1N1 Vaccine and Antivirals) -https://dph.state.al.us/order ADPH Information for Healthcare Providers http://www.adph.org/H1N1Flu/Default.asp?id=3574
Contact Name ADPH Immunization Division
Phone Number 334-206-5023
Email ADPH Immunization Division
Alaska American Samoa Arizona Arkansas California Los Angeles County Colorado Commonwealth of the Northern Mariana Islands Connecticut Delaware Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Chicago Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York State
www.vactrak.alaska.gov N/A http://www.azdhs.gov/flu/h1n1/index.htm http://www.healthyarkansas.com www.Calpanflu.org (to be active 9/01/09) http://publichealth.lacounty.gov/H1N1Vaccine http://www.cdphe.state.co.us/epr/h1n1.html N/A www.ct.gov/ctfluwatch/providers http://www.dhss.delaware.gov/dhss/dph/dpc/files/h1n1providerpreregform.pdf Not yet identified N/A http://health.state.ga.us/h1n1flu/ www.dphss.guam.gov http://h1n1vax.doh.hawaii.gov/welcome.html
Laurel Wood Yolanda Masunu-Faleafaga
907-269-8000 684-633-7223/699-8464
laurel.wood@alaska.gov
Colorado Immunization Program
303-692-2650
www.flshots.com Monica Trigg
flshots@doh.state.fl.us 404-657-9635
mntrigg@dhr.state.ga.us
www.immunizeidaho.com
N/A https://www.chicagohan.org N/A http://www.idph.state.ia.us/h1n1/ http://www.kdheks.gov/H1N1 https://khelps.chfs.ky.gov/VolunteerMobilizer/ N/A Not yet identified www.dhmh.state.md.us http://www.mass.gov/dph/h1n1registration www.Michigan.gov/flu http://www.health.state.mn.us/divs/idepc/diseases/flu/h1n1/vaccine/ordering.html www.HealthyMS.com http://www.dhss.mo.gov/BT_Response/_MedProfs.html Immunization Section 217-785-1455
IIPH1N1Providers@dhw.idaho.gov
Immunization Division
317-233-7704
DHH OPH Immunization Program
504-838-5300
Peter Smith
Peter.F.Smith@maine.gov
Beth Parilla Tammy Clark
651-201-5414 601-576-7751
elizabeth.parilla@state.mn.us tammy.clark@msdh.state.ms.us
http://www.dphhs.mt.gov/influenza/contacts.shtml
http://dhhs.ne.gov/H1N1flu/clinicians.htm http://www.flu.nv.gov/ http://www.dhhs.nh.gov/DHHS/DHHS_SITE/swineflu.htm
http://nj.gov/health/flu/h1n1.shtml Registration will open week of September 14th
http://www.health.state.nm.us/H1N1/documents/PA_GettingReady.pdf The registration website is: https://hcsteamwork1.health.state.ny.us/pub/toph1n1.htmlProvider registration letter: Provider Letter re H1N1 vacc reg and NYSIIS Fact sheet Oct 09.pdf General H1N1 info: http://www.health.state.ny.us/diseases/communicable/influenza/h1n1/ N/A http://www.ncalhd.org/county.htm N/A http://h1n1vaccine.odh.ohio.gov http://osiis.health.ok.gov
Susan Walsh Bureau of Immunization
866-321-9571 518-473-4437
Susan.Walsh@doh.state.nj.us H1N1Comments@health.state.ny.us
New York City North Carolina North Dakota Ohio Oklahoma
Citywide Immunization Registry Molly Sanders
212-676-2323 800-472-2180 or 701-328-3386 msander@nd.gov
State/Jurisdiction Contact Information for Providers Interested in Providing H1N1 Vaccine* State/Jurisdiction
Oregon
Website
For general information: http://www.oregon.gov/DHS/ph/acd/flu/h1n1flusubcommittee.shtml Interested providers need to contact their county health department http://www.oregon.gov/DHS/ph/imm/docs/H1N1contacts.pdf www.health.state.pa.us/pasiis Not yet identified Not yet identified Not yet identified
Contact Name
Phone Number
Email
Pennsylvania Puerto Rico The Republic of the Marshall Islands The Republic of Palau Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming
Angel M. Rivera
(787) 765-2929 ext 3342/3338/3327
anrivera@salud.gov.pr
http://pandemic.health.ri.gov/h1n1/ http://www.scdhec.gov/flu/swine-flu.htm
Not yet identified http://twis.tn.gov www.texasflu.org N/A
South Carolina State Director for Immunization Tim Heath
smithsl@dhec.sc.gov
605-773-5323 Tim.Heath@state.sd.us
http://health.utah.gov/epi/h1n1flu/groups/vaccine_provider.html
Gail A. Jackson, MPA Linda Abel
340-776-1113 801-538-9450
N/A www.vdh.virginia.gov/H1N1prereg http://www.doh.wa.gov/swineflu/h1n1reg.htm N/A Beverly A. Pritchett 202-671-4222 Not yet identified N/A http://pandemic.wisconsin.gov/category.asp?linkcatid=3147&linkid=903&locid=106 www.immunizewyoming.com Immunization Section 307-777-7952
gail.jackson@usvi-doh.org label@utah.gov immunizationprogram@vdh.state.vt.us
beverly.pritchett@dc.gov
DHSWiPanflu@wisconsin.gov
* States/Jurisdictions reflect CDC Public Health Emergency Response (PHER) grantees