Covered Entity Details

CH04423F ANSON REGIONAL MEDICAL SERVICES INC (Active) - information as of 4/30/2025 10:51:28 PM

Main Details

Name

ANSON REGIONAL MEDICAL SERVICES INC

Subdivision Name

Arms 19ft Mobile

Type

HRSA-Funded Health Center

Site ID

BPS-H80-037660

340B ID

CH04423F

Grant Number

H80CS00486

Additional Details

Current Program Status

Active

Registration Date

4/3/2024

Participating Start Date

7/1/2024

Participating Approval Date

4/25/2024

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

Anson Regional Medical Services, Inc.
GWENDOLYN E. REED, CEO
(704) 694-6700 Ext: 223

Primary Contact

Anson Regional Medical Services
Gayle Monroe, Administrative Assistant
(704) 694-6700

Addresses

Street Address

203 Salisbury St
Wadesboro, NC 28170-2155

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

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.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH044230	Active	BPS-H80-003127	ANSON REGIONAL MEDICAL SERVICES		203 SALISBURY ST.	WADESBORO	NC
CH04423E	Active	BPS-H80-037201	ANSON REGIONAL MEDICAL SERVICES, INC.	ARMS-Union	1328 Patterson Street	Monroe	NC
CH04423F	Active	BPS-H80-037660	ANSON REGIONAL MEDICAL SERVICES INC	Arms 19ft Mobile	203 Salisbury St	Wadesboro	NC

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH044230	WALGREEN CO.	DBA: WALGREENS # 02700	1993 DICKERSON BLVD	MONROE	NC	28110-2795	02/02/2012	04/01/2024
CH044230	WALGREEN CO.	DBA: WALGREENS # 07401	13720 HIGHWAY 74	INDIAN TRAIL	NC	28079-7600	02/02/2012	04/01/2024
CH044230	WALGREEN CO.	DBA: WALGREENS #10255	5975 WEDDINGTON MONROE RD.	MATTHEWS	NC	28104	02/02/2012	04/01/2024
CH044230	WALGREEN CO.	DBA: WALGREENS #11251	2531 CUTHBERTSON RD.	WAXHAW	NC	28173	02/02/2012	04/01/2024
CH044230	WALGREEN CO.	DBA: WALGREENS #11692	500 FINCHER ST.	MONROE	NC	28112	02/02/2012	04/01/2024
CH044230	WALGREEN CO.	DBA: WALGREENS #11088	1500 E. BROAD AVE.	ROCKINGHAM	NC	28379	10/01/2021	04/01/2024
CH044230	WALGREEN CO.	WALGREENS #19315	1208 SKYWAY DR	MONROE	NC	28110	10/01/2021	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification		2/11/2025 9:59:14 AM	2/11/2025 9:59 AM
Details	State	Update		Approved	Active	7/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		REED, GWENDOLYN E. CEO Anson Regional Medical Services, Inc. 7046946700-223	4/25/2024 1:55 PM
Details	340B ID	Update	New Registration		CH04423F	4/25/2024 1:55 PM
Dates	Participating Approval Date	Update	New Registration		4/25/2024 1:55:15 PM	4/25/2024 1:55 PM
Details	State	Update	New Registration	Pending	Approved	4/25/2024 1:55 PM
Dates	Signed By Date	Update	New Registration		4/3/2024 12:25:27 PM	4/25/2024 1:55 PM
Dates	Start Date	Update	New Registration		7/1/2024 12:00:00 AM	4/25/2024 1:55 PM
Addresses	Main Address	Insert	New Registration		203 Salisbury St Wadesboro, NC 28170-2155	4/3/2024 12:25 PM
Contacts	Authorizing Official	Insert	New Registration		REED, GWENDOLYN E. CEO Anson Regional Medical Services, Inc. 7046946700-223	4/3/2024 12:25 PM
Contacts	Primary Contact	Insert	New Registration		Monroe, Gayle Administrative Assistant Anson Regional Medical Services 7046946700	4/3/2024 12:25 PM
Details	Assistance Received From Date	Insert	New Registration			4/3/2024 12:25 PM
Details	Assistance Received To Date	Insert	New Registration			4/3/2024 12:25 PM
Details	Last Recertification Date	Insert	New Registration			4/3/2024 12:25 PM
Details	Grant Number	Insert	New Registration		H80CS00486	4/3/2024 12:25 PM
Details	340B ID	Insert	New Registration			4/3/2024 12:25 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/3/2024 12:25 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/3/2024 12:25 PM
Details	Medicare Provider Number	Insert	New Registration			4/3/2024 12:25 PM
Details	Entity Name	Insert	New Registration		ANSON REGIONAL MEDICAL SERVICES INC	4/3/2024 12:25 PM
Details	NOFO Number	Insert	New Registration			4/3/2024 12:25 PM
Details	Program Code	Insert	New Registration		CH	4/3/2024 12:25 PM
Details	Entity Subname	Insert	New Registration		Arms 19ft Mobile	4/3/2024 12:25 PM
Dates	Participating Approval Date	Insert	New Registration			4/3/2024 12:25 PM
Details	State	Insert	New Registration		Pending	4/3/2024 12:25 PM
Dates	Registration Date	Insert	New Registration		4/3/2024 12:25:24 PM	4/3/2024 12:25 PM
Dates	Signed By Date	Insert	New Registration			4/3/2024 12:25 PM
Dates	Start Date	Insert	New Registration			4/3/2024 12:25 PM
Terminations	Termination Comments	Insert	New Registration			4/3/2024 12:25 PM
Terminations	Termination Date	Insert	New Registration			4/3/2024 12:25 PM
Terminations	Termination Effective Date	Insert	New Registration			4/3/2024 12:25 PM
Terminations	Termination Reason	Insert	New Registration			4/3/2024 12:25 PM

340B Drug Pricing Program Database