Covered Entity Details

CH07449N OZARK TRI-COUNTY HEALTH CARE CONSORTIUM (Active) - information as of 4/28/2025 1:46:03 AM

Main Details

Name

OZARK TRI-COUNTY HEALTH CARE CONSORTIUM

Subdivision Name

ACCESS Family Care Monett

Type

HRSA-Funded Health Center

Site ID

BPS-H80-037964

340B ID

CH07449N

Grant Number

H80CS00673

Additional Details

Current Program Status

Active

Registration Date

4/5/2024

Participating Start Date

7/1/2024

Participating Approval Date

6/6/2024

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

ACCESS Family Care
Don McBride, CEO
(417) 451-9450 Ext: 212

Primary Contact

ACCESS Family Care
Carrie Elisabeth Foote, Director of Compliance, Quality, and Risk Management
(417) 451-9450 Ext: 4174519450

Addresses

Street Address

815 N. Lincoln Ave Suite B
Monett, MO 65708-1699

Billing Address

OZARK TRI-COUNTY HEALTH CARE CONSORTIUM DBA ACCESS FAMILY CARE
PO Box 758
Neosho, MO 64850-0758

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
CH074490	Active	BPS-H80-012548	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	ACCESS Family Care Administration	475 Nelson Ave.	Neosho	MO
CH07449A	Active	BPS-H80-011915	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	ACCESS Family Care-- Cassville	4016 North Main St	Cassville	MO
CH07449B	Active	BPS-H80-030089	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	ACCESS Family Care Neosho	1504 N Business 71	Neosho	MO
CH07449C	Active	BPS-H80-005584	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	ACCESS Family Care of Anderson	927 N. HIGHWAY 71 BUSINESS	ANDERSON	MO
CH07449E	Active	BPS-H80-008579	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	Access Family Care Joplin	530 S Maiden Ln	Joplin	MO
CH07449G	Active	BPS-H80-018880	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	ACCESS Family Care - Aurora Clinic	1810 S Carnation Dr.	Aurora	MO
CH07449H	Terminated	BPS-H80-012548	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	ACCESS Family Care Administration Offices	475 Nelson Avenue	Neosho	MO
CH07449J	Active	BPS-H80-015389	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	ACCESS Family Care - Lamar	210 W 10TH ST	LAMAR	MO
CH07449K	Active	BPS-H80-034169	Ozark Tri-County Health Care Consortium	ACCESS Family Care- Neosho Dental	2209 Oak Ridge Dr.	Neosho	MO
CH07449L	Terminated	BPS-H80-018591	Ozark Tri-County Health Care Consortium	ACCESS Family Care- Nevada	204 N. Cedar St	Nevada	MO
CH07449M	Active	BPS-H80-018128	Ozark Tri-County Health Care Consortium	ACCESS Family Care- Carthage Dental	215 E. 3rd St	Carthage	MO
CH07449N	Active	BPS-H80-037964	OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	ACCESS Family Care Monett	815 N. Lincoln Ave Suite B	Monett	MO

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH074490	AURORA PROFESSIONAL PHARMACY	124 MADISON		AURORA	MO	65605	07/01/2017	11/18/2020
CH074490	HOMETOWN PHARMACY #4	606 E MT VERNON BLVD	PO BOX 68	MOUNT VERNON	MO	65712	10/01/2014	12/18/2020
CH07449G	HOMETOWN PHARMACY #4	606 E MT VERNON BLVD	PO BOX 68	MOUNT VERNON	MO	65712	10/01/2014	12/18/2020
CH074490	MITCHELL'S DOWNTOWN DRUG STORE	115 E HICKORY ST		NEOSHO	MO	64850-1806	01/01/2017	11/18/2020
CH074490	MITCHELL'S DRUG STORES ON THE BOULEVARD	TIM MITCHELL MEDICAL INC	719 S. NEOSHO BLVD SUITE A	NEOSHO	MO	64850-2007	04/26/2012	11/18/2020
CH074490	MUSTANG DRUG INC	704C SOUTH 59 HIGHWAY	P.O.BOX 418	ANDERSON	MO	64831	08/03/2005	11/18/2020
CH07449A	SATER PHARMACY	SATER PHARMACY	705 MAIN ST	CASSVILLE	MO	65625	02/04/2010	12/18/2020
CH074490	SATER PHARMACY	SATER PHARMACY	705 MAIN ST	CASSVILLE	MO	65625	04/01/2015	12/18/2020
CH07449E	SMITTY'S PRICE CUTTER PHARMACY #57	1850 MAIDEN LANE		JOPLIN	MO	64801	04/23/2007	05/31/2017
CH074490	SMITTY'S PRICE CUTTER PHARMACY #57	1850 MAIDEN LANE		JOPLIN	MO	64801	04/26/2012	05/31/2017
CH074490	Tim Mitchel Medical, Inc. dba Country Care Pharmacy	1504 N. Business 71 Hwy		Neosho	MO	64850	04/26/2012	11/18/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification		2/10/2025 10:44:22 AM	2/10/2025 10:44 AM
Details	State	Update		Approved	Active	7/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		McBride, Don CEO ACCESS Family Care 4174519450-212	6/6/2024 12:09 PM
Details	340B ID	Update	New Registration		CH07449N	6/6/2024 12:09 PM
Dates	Participating Approval Date	Update	New Registration		6/6/2024 12:09:16 PM	6/6/2024 12:09 PM
Details	State	Update	New Registration	Pending	Approved	6/6/2024 12:09 PM
Dates	Signed By Date	Update	New Registration		4/9/2024 12:15:37 PM	6/6/2024 12:09 PM
Dates	Start Date	Update	New Registration		7/1/2024 12:00:00 AM	6/6/2024 12:09 PM
Addresses	Main Address	Insert	New Registration		815 N. Lincoln Ave Suite B Monett, MO 65708-1699	4/5/2024 2:28 PM
Addresses	Billing Address	Insert	New Registration		OZARK TRI-COUNTY HEALTH CARE CONSORTIUM DBA ACCESS FAMILY CARE PO Box 758 Neosho, MO 64850-0758	4/5/2024 2:28 PM
Contacts	Authorizing Official	Insert	New Registration		McBride, Don CEO ACCESS Family Care 4174519450-212	4/5/2024 2:28 PM
Contacts	Primary Contact	Insert	New Registration		Foote, Carrie Elisabeth Director of Compliance, Quality, and Risk Management ACCESS Family Care 4174519450-4174519450	4/5/2024 2:28 PM
Details	Assistance Received From Date	Insert	New Registration			4/5/2024 2:28 PM
Details	Assistance Received To Date	Insert	New Registration			4/5/2024 2:28 PM
Details	Last Recertification Date	Insert	New Registration			4/5/2024 2:28 PM
Details	Grant Number	Insert	New Registration		H80CS00673	4/5/2024 2:28 PM
Details	340B ID	Insert	New Registration			4/5/2024 2:28 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/5/2024 2:28 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/5/2024 2:28 PM
Details	Medicare Provider Number	Insert	New Registration			4/5/2024 2:28 PM
Details	Entity Name	Insert	New Registration		OZARK TRI-COUNTY HEALTH CARE CONSORTIUM	4/5/2024 2:28 PM
Details	NOFO Number	Insert	New Registration			4/5/2024 2:28 PM
Details	Program Code	Insert	New Registration		CH	4/5/2024 2:28 PM
Details	Entity Subname	Insert	New Registration		ACCESS Family Care Monett	4/5/2024 2:28 PM
Dates	Participating Approval Date	Insert	New Registration			4/5/2024 2:28 PM
Details	State	Insert	New Registration		Pending	4/5/2024 2:28 PM
Dates	Registration Date	Insert	New Registration		4/5/2024 2:28:58 PM	4/5/2024 2:28 PM
Dates	Signed By Date	Insert	New Registration			4/5/2024 2:28 PM
Dates	Start Date	Insert	New Registration			4/5/2024 2:28 PM
Terminations	Termination Comments	Insert	New Registration			4/5/2024 2:28 PM
Terminations	Termination Date	Insert	New Registration			4/5/2024 2:28 PM
Terminations	Termination Effective Date	Insert	New Registration			4/5/2024 2:28 PM
Terminations	Termination Reason	Insert	New Registration			4/5/2024 2:28 PM

340B Drug Pricing Program Database