Covered Entity Details

FP78064 ATASCOSA HEALTH CENTER, INC. (Terminated) - information as of 4/29/2025 12:33:13 AM

Main Details

Name

ATASCOSA HEALTH CENTER, INC.

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP78064

Grant Number

FPHPA066072

Additional Details

Current Program Status

Terminated

Registration Date

4/1/2003

Participating Start Date

7/1/2013

Participating Approval Date

6/27/2013

Last Recertification Date

5/12/2016

Termination Date
Termination Reason

10/1/2016
Loss of qualifying grant/support

Contacts

Authorizing Official

Atascosa Health Center, Inc.
Maria Garcia, CFO
(830) 569-8940 Ext: 2113

Primary Contact

Atascosa Health Center, Inc.
Monty Small, CEO
(830) 569-8940 Ext: 2106

Addresses

Street Address

310 W OAKLAWN RD
PLEASANTON, TX 78064

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
6/21/13 participating 1/1/98 thru 3/31/12, not participating 4/1/12 thru 6/30/13, re-instated effective 7/1/13 based on a new registration submitted; 3/22/10 UPDATED ENTITY NAME (WAS ATASCOSA RHI HEALTH CLINIC INC);	06/21/2013
3/22/10 UPDATED ENTITY NAME (WAS ATASCOSA RHI HEALTH CLINIC INC);	03/22/2010

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	New Registration	Small, Monty CEO 8305698940-2106	Small, Monty CEO Atascosa Health Center, Inc. 8305698940-2106	10/15/2020 4:52 PM
Contacts	Authorizing Official	Update	Profile Change Request	Garcia, Maria CFO Atascosa Health Center, Inc. 8035698940-2113	Garcia, Maria CFO Atascosa Health Center, Inc. 8305698940-2113	2/8/2019 10:07 AM
Contacts	Signed By	Update	Profile Change Request	Garcia, Maria CFO Atascosa Health Center, Inc. 8035698940-2113	Garcia, Maria CFO Atascosa Health Center, Inc. 8305698940-2113	2/8/2019 10:07 AM
Contacts	Authorizing Official	Update		Garcia, Maria CFO 8035698940-2113	Garcia, Maria CFO Atascosa Health Center, Inc. 8035698940-2113	9/29/2017 10:08 AM
Contacts	Signed By	Update		Garcia, Maria CFO 8035698940-2113	Garcia, Maria CFO Atascosa Health Center, Inc. 8035698940-2113	9/29/2017 10:08 AM
Contacts	Authorizing Official	Insert			Garcia, Maria CFO 8035698940-2113	5/1/2017 5:50 PM
Contacts	Signed By	Insert			Garcia, Maria CFO 8035698940-2113	5/1/2017 5:50 PM
Contacts	Primary Contact	Insert			Small, Monty CEO 8305698940-2106	4/11/2017 12:48 PM
Addresses	Main Address	Insert			310 W OAKLAWN RD PLEASANTON, TX 78064	9/13/2016 12:22 PM
Dates	Last Date That 340B Drugs Purchased	Update			6/15/2015 12:00:00 AM	9/13/2016 12:22 PM
Details	State	Update		Active	Terminated	9/13/2016 12:22 PM
Terminations	Termination Comments	Update			Correcting 340B Entity Type per HRSA notice dated 09-08-16. Please note this health center has continued to purchase 340B products under Entity Type CH, Consolidated Health Center Program. We ask that Requested Termination date become effective immediately. Thank you.	9/13/2016 12:22 PM
Terminations	Termination Date	Update			10/1/2016 12:00:00 AM	9/13/2016 12:22 PM
Terminations	Termination Effective Date	Update			6/15/2015 12:00:00 AM	9/13/2016 12:22 PM
Terminations	Termination Reason	Update			Loss of qualifying grant/support	9/13/2016 12:22 PM
Details	Last Recertification Date	Update		5/28/2015 12:00:00 AM	5/12/2016 12:00:00 AM	5/12/2016 10:14 AM
Details	Last Recertification Date	Update		5/9/2014 12:00:00 AM	5/28/2015 12:00:00 AM	5/28/2015 11:02 AM
Details	Last Recertification Date	Update			5/9/2014 12:00:00 AM	5/9/2014 10:24 AM
Details	Last Recertification Date	Update		4/1/2012 12:00:00 AM		6/27/2013 4:02 PM
Details	Grant Number	Update		FPHPA060898	FPHPA066072	6/27/2013 4:02 PM
Dates	Participating Approval Date	Update			6/27/2013 12:00:00 AM	6/27/2013 4:02 PM
Details	State	Update		Pending	Active	6/27/2013 4:02 PM
Dates	Start Date	Update		10/1/1998 12:00:00 AM	7/1/2013 12:00:00 AM	6/27/2013 4:02 PM
Dates	Participating Approval Date	Update		10/1/1998 12:00:00 AM		6/26/2013 3:22 PM
Details	State	Update		Terminated	Pending	6/26/2013 3:22 PM
Dates	Signed By Date	Update		4/1/2010 12:00:00 AM	4/15/2013 12:00:00 AM	6/26/2013 3:22 PM
Terminations	Termination Date	Update		4/1/2012 12:00:00 AM		6/26/2013 3:22 PM
Terminations	Termination Reason	Update		Decertified/defunded		6/26/2013 3:22 PM
Details	Comments Public	Insert			6/21/13 participating 1/1/98 thru 3/31/12, not participating 4/1/12 thru 6/30/13, re-instated effective 7/1/13 based on a new registration submitted; 3/22/10 UPDATED ENTITY NAME (WAS ATASCOSA RHI HEALTH CLINIC INC);	6/21/2013 11:38 AM
Details	Last Recertification Date	Update		4/1/2010 12:00:00 AM	4/1/2012 12:00:00 AM	3/20/2012 3:51 PM
Details	State	Update		Active	Terminated	3/20/2012 3:51 PM
Terminations	Termination Date	Update			4/1/2012 12:00:00 AM	3/20/2012 3:51 PM
Terminations	Termination Reason	Update			Decertified/defunded	3/20/2012 3:51 PM
Details	Last Recertification Date	Insert			4/1/2010 12:00:00 AM	3/22/2010 12:15 PM
Details	Grant Number	Insert			FPHPA060898	3/22/2010 12:15 PM
Details	340B ID	Insert			FP78064	3/22/2010 12:15 PM
Details	Is Authorizing Official EHB Data	Insert				3/22/2010 12:15 PM
Dates	Last Date That 340B Drugs Purchased	Insert				3/22/2010 12:15 PM
Details	Medicare Provider Number	Insert				3/22/2010 12:15 PM
Details	Entity Name	Insert			ATASCOSA HEALTH CENTER, INC.	3/22/2010 12:15 PM
Details	Program Code	Insert			FP	3/22/2010 12:15 PM
Details	Entity Subname	Insert				3/22/2010 12:15 PM
Dates	Participating Approval Date	Insert			10/1/1998 12:00:00 AM	3/22/2010 12:15 PM
Details	State	Insert			Active	3/22/2010 12:15 PM
Dates	Registration Date	Insert			4/1/2003 12:00:00 AM	3/22/2010 12:15 PM
Dates	Signed By Date	Insert			4/1/2010 12:00:00 AM	3/22/2010 12:15 PM
Dates	Start Date	Insert			10/1/1998 12:00:00 AM	3/22/2010 12:15 PM
Terminations	Termination Comments	Insert				3/22/2010 12:15 PM
Terminations	Termination Date	Insert				3/22/2010 12:15 PM
Terminations	Termination Effective Date	Insert				3/22/2010 12:15 PM
Terminations	Termination Reason	Insert				3/22/2010 12:15 PM
Details	Comments Public	Insert			3/22/10 UPDATED ENTITY NAME (WAS ATASCOSA RHI HEALTH CLINIC INC);	3/22/2010 12:15 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History