Covered Entity Details

CH061950AD St. Francis House NWA, Inc. (Active) - information as of 6/6/2025 12:37:21 PM

Main Details

Name

St. Francis House NWA, Inc.

Subdivision Name

TruHealth Family Care

Type

HRSA-Funded Health Center

Site ID

BPS-H80-038143

340B ID

CH061950AD

Grant Number

H80CS04290

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

2/12/2025

Contacts

Authorizing Official

St. Francis House NWA inc dba Community Clinic
James Semingson II, Chief Executive Officer
(479) 751-7417 Ext: 6070

Primary Contact

St. Francis House NWA inc dba Community Clinic
John L Smith, Compliance Director
(479) 751-7417 Ext: 6157

Addresses

Street Address

2630 E Citizens Dr, #3
Fayetteville, AR 72703-4797

Billing Address

St. Francis House NWA, Inc.
614 E. Emma
suite 300
Springdale, AR 72764

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?
Yes

State	Medicaid Number	NPI Number
AR	320988749	1194587279

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	Address Cont.	City	State
CH0619500	Active	BPS-H80-002552	ST. FRANCIS HOUSE NWA, INC.	Community Clinic Springdale Medical	614 E Emma Ave STE 300		Springdale	AR
CH061950AA	Active	BPS-H80-037131	St. Francis House NWA, Inc.	Community Clinic Fayetteville High School	235 S. Buchanan Ave STE 1		Fayetteville	AR
CH061950AB	Active	BPS-H80-037728	St. Francis House NWA, Inc.	Advanced Health and Wellness	3729 N Crossover Rd, #107		Fayetteville	AR
CH061950AC	Active	BPS-H80-038142	St. Francis House NWA, Inc.	Siloam Springs Medical Center	451 S Holly St		Siloam Springs	AR
CH061950AD	Active	BPS-H80-038143	St. Francis House NWA, Inc.	TruHealth Family Care	2630 E Citizens Dr, #3		Fayetteville	AR
CH061950AE	Active	BPS-H80-038140	St. Francis House NWA, Inc.	Gentry Medical Center	643 E 3rd St	ste 300	Gentry	AR
CH061950AF	Active	BPS-H80-038146	St. Francis House NWA, Inc.	Kansas Medical Clinic	1261 E Tulsa Ave		Kansas	OK
CH061950AG	Active	BPS-H80-038144	St. Francis House NWA, Inc.	Family Medical Center	1121 Neo Loop		Grove	OK
CH061950AH	Active	BPS-H80-038141	St. Francis House NWA, Inc.	Sager Creek Pediatrics and Family Care	1101 N Progress Ave		Siloam Springs	AR
CH061950AJ	Active	BPS-H80-038145	St. Francis House NWA, Inc.	Broadhurst St Medical Clinic	100 Broadhurst St		Siloam Springs	AR
CH061950AK	Active	BPS-H80-039206	St. Francis House NWA, Inc.	Community Clinic West Fork	245 School Ave STE A		West Fork	AR
CH061950AL	Active	BPS-H80-038672	St. Francis House NWA, Inc.	Community Clinic Central Junior High	2811 W. Huntsville Ave STE 1016		Springdale	AR
CH061950C	Active	BPS-H80-008750	ST. FRANCIS HOUSE NWA, INC.	Community Clinic Rogers Medical	1233 W Poplar St		Rogers	AR
CH061950D	Terminated	BPS-H80-009419	ST. FRANCIS HOUSE NWA, INC.	Community Clinic Siloam Springs Medical	500 South Mount Olive STE 200		Siloam Springs	AR
CH061950E	Active	BPS-H80-010488	ST. FRANCIS HOUSE NWA, INC.	JONES SCHOOL BASED HEALTH CENTER	900 Powell St		Springdale	AR
CH061950F	Active	BPS-H80-008507	ST. FRANCIS HOUSE NWA, INC.	Community Clinic Springdale Dental	610 E Emma Ave Suite A		Springdale	AR
CH061950G	Active	BPS-H80-004191	ST. FRANCIS HOUSE NWA, INC.	COMMUNITY CLINIC ROGERS/DENTAL	3710 SOUTHERN HILLS BLVD		ROGERS	AR
CH061950H	Active	BPS-H80-010489	ST. FRANCIS HOUSE NWA, INC.	Owl Creek School Based Health Center	375 N Rupple Rd		Fayetteville	AR
CH061950J	Active	BPS-H80-009548	ST. FRANCIS HOUSE NWA, INC.	Community Clinic Administration	610 E Emma Ave Suite B		Springdale	AR
CH061950K	Active	BPS-H80-013842	ST. FRANCIS HOUSE NWA, INC.	Siloam Springs School Based Health Center	1500 N MOUNT OLIVE ST, Ste 1		SILOAM SPRINGS	AR
CH061950L	Active	BPS-H80-013759	ST. FRANCIS HOUSE NWA, INC.	Prairie Grove School Based Health Center	801 VINEY GROVE RD		PRAIRIE GROVE	AR
CH061950M	Active	BPS-H80-012981	ST. FRANCIS HOUSE NWA, INC.	Community Clinic Springdale Medical - Family Practice	610 E Emma Ave Suite C		Springdale	AR
CH061950N	Active	BPS-H80-013906	ST. FRANCIS HOUSE NWA, INC.	George School Based Health Center	2878 POWELL ST		SPRINGDALE	AR
CH061950P	Terminated	BPS-H80-014156	ST. FRANCIS HOUSE NWA, INC.	Lincoln School Based Health Center	201 E SCHOOL ST		LINCOLN	AR
CH061950Q	Active	BPS-H80-014788	ST. FRANCIS HOUSE NWA, INC.	Elmdale School Based Health Center	420 N West End St, Ste B		Springdale	AR
CH061950R	Active	BPS-H80-015791	ST. FRANCIS HOUSE NWA, INC.	Community Clinic Fayetteville Medical	3162 W MARTIN LUTHER KING BLVD, SUITES 13&14		Fayetteville	AR
CH061950S	Active	BPS-H80-030198	St. Francis House NWA, Inc.	Parson Hills Elementary School Based Health Center	2328 Cardinal Dr		Springdale	AR
CH061950T	Active	BPS-H80-031121	St. Francis House NWA, Inc.	Community Clinic Pea Ridge	1923 W Pickens Rd		Pea Ridge	AR
CH061950U	Active	BPS-H80-031965	St. Francis House NWA, Inc.	Community Clinic Mobile Health Unit	1233 W Poplar St		Rogers	AR
CH061950V	Active	BPS-H80-033984	St. Francis House NWA, Inc.	Community Clinic Don Tyson School of Innovation	2667 Hylton Rd Ofc 604		Springdale	AR
CH061950W	Active	BPS-H80-034003	St. Francis House NWA, Inc.	Community Clinic Elkins	376 N Center St		Elkins	AR
CH061950X	Active	BPS-H80-034735	St. Francis House NWA, Inc.	Community Clinic Outreach - Washington	800 E Emma Ave STE D		Springdale	AR
CH061950Y	Active	BPS-H80-034734	St. Francis House NWA, Inc.	Community Clinic Outreach - RPP	614 E Emma Ave STE M426		Springdale	AR
CH061950Z	Active	BPS-H80-033437	St. Francis House NWA, Inc.	Community Clinic Centerton	314 E. Centerton Blvd		Centerton	AR

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH0619500	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2023
CH0619500	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	07/01/2023
CH0619500	ALLCARE SPECIALTY PHARMACY, LLC	10620 COLONEL GLENN RD STE 300		LITTLE ROCK	AR	72204-8048	01/01/2018
CH0619500	AUSTIN DRUG	118 MAIN STREET N.E.	BOX 239	GRAVETTE	AR	72736	07/01/2024
CH0619500	CBC SPRINGDALE, LLC	DBA: HEARTLAND PHARMACY SPRINGDALE	701 S THOMPSON SUITE A	SPRINGDALE	AR	72764	04/01/2025
CH061950C	CLEARMED SOLUTIONS, LLC	DBA HEARTLAND PHARMACY BENTONVILLE	2805 SW 14TH ST STE 11	BENTONVILLE	AR	72712	01/01/2023	10/07/2022
CH0619500	CLEARMED SOLUTIONS, LLC	DBA HEARTLAND PHARMACY BENTONVILLE	2805 SW 14TH ST STE 11	BENTONVILLE	AR	72712	01/01/2023
CH061950Z	CLEARMED SOLUTIONS, LLC	DBA HEARTLAND PHARMACY BENTONVILLE	2805 SW 14TH ST STE 11	BENTONVILLE	AR	72712	01/01/2024
CH0619500	COLLIER DRUG DICKSON	100 W DICKSON ST		FAYETTEVILLE	AR	72701-5219	01/01/2024
CH0619500	COLLIER DRUG FARMINGTON	197 E MAIN ST		FARMINGTON	AR	72730-3077	04/01/2025
CH0619500	COLLIER DRUG PRAIRIE GROVE	801 E DOUGLAS ST	PO BOX 886	PRAIRIE GROVE	AR	72753	07/01/2024
CH0619500	COLLIER DRUG STORE - WILLOW CREEK	5201 WILLOW CREEK DR.		SPRINGDALE	AR	72762	07/01/2024
CH0619500	COLLIER DRUG STORES, INC.	COLLIER DRUG STORE	2491 N CENTER ST	FAYETTEVILLE	AR	72701	04/01/2025
CH0619500	CORNERSTONE PHARMACY AT ROGERS, LLC	DBA: HEARTLAND PHARMACY ROGERS	1735 W WALNUT ST	ROGERS	AR	72756-3323	07/01/2019
CH061950U	CORNERSTONE PHARMACY AT ROGERS, LLC	DBA: HEARTLAND PHARMACY ROGERS	1735 W WALNUT ST	ROGERS	AR	72756-3323	01/01/2024
CH0619500	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2023
CH0619500	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2023
CH0619500	GENOA HEALTHCARE LLC	2400 SOUTH 48TH ST		SPRINGDALE	AR	72762-6683	04/01/2025
CH0619500	HARP'S PHARMACY #176	1189 N GARLAND AVE		FAYETTEVILLE	AR	72703-1682	04/01/2016
CH061950R	HARP'S PHARMACY #176	1189 N GARLAND AVE		FAYETTEVILLE	AR	72703-1682	01/01/2024
CH0619500	HARPS PHARMACY #113	201 HIGHWAY 412 W		SILOAM SPRINGS	AR	72761	04/01/2014
CH061950D	HARPS PHARMACY #113	201 HIGHWAY 412 W		SILOAM SPRINGS	AR	72761	06/30/2010	04/13/2017
CH061950D	HARPS PHARMACY #113	201 HIGHWAY 412 W		SILOAM SPRINGS	AR	72761	01/01/2024	04/01/2025
CH0619500	HARPS PHARMACY #115	1951 N CENTER ST		ELKINS	AR	72727	04/01/2025
CH0619500	HARPS PHARMACY #357	103 N. DIXIELAND RD		ROGERS	AR	72756	04/01/2014
CH061950C	HARPS PHARMACY #357	103 N. DIXIELAND RD		ROGERS	AR	72756	04/01/2008	04/13/2017
CH061950C	HARPS PHARMACY #357	103 N. DIXIELAND RD		ROGERS	AR	72756	01/01/2024
CH0619500	HEALTHCARE PHARMACY	3401 ATWOOD RD STE F		LITTLE ROCK	AR	72206-6012	04/01/2025
CH0619500	JEPSON DRUGS LLC	DBA JEPSON DRUG	310 N PROGRESS AVE STE 10	SILOAM SPRINGS	AR	72761	07/01/2024
CH0619500	KANSAS PHARMACY, LLC	1119 E TULSA AVE		KANSAS	OK	74347-7055	07/01/2024
CH0619500	MC KINNEY REXALL DRUG		601 W. MAPLE AVE. SUITE 201	SPRINGDALE	AR	72764	03/23/2010	04/13/2017
CH0619500	MCKINNEY DRUG STORE INC	D/B/A COMMUNITY PHARMACY OF SPRINGDALE	400 W EMMA AVE	SPRINGDALE	AR	72764	01/01/2014
CH0619500	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	04/01/2025
CH0619500	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	04/01/2025
CH0619500	OSBORN DRUGS INC	11 W CENTRAL AVE		MIAMI	OK	74354	07/01/2024
CH0619500	PPG STORE 2 LLC	DBA HEARTLAND PHARMACY GENTRY	560 S GENTRY BLVD	GENTRY	AR	72734	07/01/2024
CH061950AG	RX SHOPPE INC	901 S MAIN ST		GROVE	OK	74344	10/01/2024
CH0619500	RX SHOPPE INC	901 S MAIN ST		GROVE	OK	74344	10/01/2024
CH0619500	SMITH DRUG PLLC	695 E 3RD ST	PO BOX 629	GENTRY	AR	72734-8258	07/01/2024
CH0619500	TEASLEY DRUG	205 ATLANTA SE PO BOX 120		GRAVETTE	AR	72736	07/01/2024
CH0619500	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2018
CH0619500	WAL-MART PHARMACY #10-6971	240 SLACK STREET		PEA RIDGE	AR	72751	01/01/2020
CH061950Y	WAL-MART PHARMACY #10-6971	240 SLACK STREET		PEA RIDGE	AR	72751	01/01/2024
CH0619500	WAL-MART PHARMACY 10--5738	3553 EAST ROBINSON AVE		SPRINGDALE	AR	72764	07/01/2018
CH061950V	WAL-MART PHARMACY 10--5738	3553 EAST ROBINSON AVE		SPRINGDALE	AR	72764	01/01/2024
CH0619500	WAL-MART PHARMACY 10-0001	2110 WEST WALNUT		ROGERS	AR	72756	01/01/2018
CH061950T	WAL-MART PHARMACY 10-0001	2110 WEST WALNUT		ROGERS	AR	72756	01/01/2024
CH0619500	WAL-MART PHARMACY 10-0004	2901 HIGHWAY 412 EAST		SILOAM SPRINGS	AR	72761	07/01/2017
CH061950K	WAL-MART PHARMACY 10-0004	2901 HIGHWAY 412 EAST		SILOAM SPRINGS	AR	72761	01/01/2024
CH0619500	WAL-MART PHARMACY 10-0054	2004 S. PLEASANT		SPRINGDALE	AR	72764	07/01/2017
CH061950N	WAL-MART PHARMACY 10-0054	2004 S. PLEASANT		SPRINGDALE	AR	72764	01/01/2024
CH0619500	WAL-MART PHARMACY 10-0076	1000 WEST TRIMBLE		BERRYVILLE	AR	72616	07/01/2024
CH0619500	WAL-MART PHARMACY 10-0081	84127 HIGHWAY 59		STILWELL	OK	74960	07/01/2024
CH0619500	WAL-MART PHARMACY 10-0090	2115 S MAIN STREET		GROVE	OK	74344	07/01/2024
CH0619500	WAL-MART PHARMACY 10-0100	406 S. WALTON BLVD		BENTONVILLE	AR	72712	10/01/2023
CH0619500	WAL-MART PHARMACY 10-0144	2875 MARTIN LUTHER KING, JR BLVD		FAYETTEVILLE	AR	72704	07/01/2018
CH061950S	WAL-MART PHARMACY 10-0144	2875 MARTIN LUTHER KING, JR BLVD		FAYETTEVILLE	AR	72704	01/01/2024
CH0619500	WAL-MART PHARMACY 10-0359	3919 N. MALL AVE		FAYETTEVILLE	AR	72703	01/01/2019
CH061950E	WAL-MART PHARMACY 10-0359	3919 N. MALL AVE		FAYETTEVILLE	AR	72703	01/01/2024
CH0619500	WAL-MART PHARMACY 10-2741	3510 S.E. 14TH STREET		BENTONVILLE	AR	72712	10/01/2019
CH0619500	WAL-MART PHARMACY 10-2742	1375 MARKET SQUARE DRIVE		SPRINGDALE	AR	72762	01/01/2020
CH061950J	WAL-MART PHARMACY 10-2742	1375 MARKET SQUARE DRIVE		SPRINGDALE	AR	72762	01/01/2024
CH0619500	WAL-MART PHARMACY 10-2745	2690 EAST CITIZENS DRIVE		FAYETTEVILLE	AR	72703	07/01/2024
CH0619500	WAL-MART PHARMACY 10-3479	1819 SOUTH 8TH STREET		ROGERS	AR	72756	07/01/2017
CH061950G	WAL-MART PHARMACY 10-3479	1819 SOUTH 8TH STREET		ROGERS	AR	72756	01/01/2024
CH0619500	WAL-MART PHARMACY 10-4108	4870 ELM SPRINGS ROAD		SPRINGDALE	AR	72762	07/01/2019
CH061950W	WAL-MART PHARMACY 10-4108	4870 ELM SPRINGS ROAD		SPRINGDALE	AR	72762	01/01/2024
CH0619500	WAL-MART PHARMACY 10-4686	906 SW REGIONAL AIRPORT BOULEVARD		BENTONVILLE	AR	72712	07/01/2024
CH0619500	WAL-MART PHARMACY 10-5260	4208 PLEASANT CROSSING BLVD.		ROGERS	AR	72758	07/01/2017
CH061950F	WAL-MART PHARMACY 10-5260	4208 PLEASANT CROSSING BLVD.		ROGERS	AR	72758	01/01/2024
CH0619500	WAL-MART PHARMACY 10-5737	3475 W BLACK FOREST DRIVE		FAYETTEVILLE	AR	72704	04/01/2021
CH061950M	WAL-MART PHARMACY 10-5737	3475 W BLACK FOREST DRIVE		FAYETTEVILLE	AR	72704	01/01/2024
CH0619500	WAL-MART PHARMACY 10-5837	5000 PAULINE WHITAKER PARKWAY		ROGERS	AR	72758	07/01/2024
CH0619500	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2018
CH0619500	WAL-MART PHARMACY 10-6960	935 S HOLLY STREET		SILOAM SPRINGS	AR	72761	07/01/2018
CH061950L	WAL-MART PHARMACY 10-6960	935 S HOLLY STREET		SILOAM SPRINGS	AR	72761	01/01/2024
CH0619500	WAL-MART PHARMACY 10-7242	367 W. MAIN STREET		FARMINGTON	AR	72730	01/01/2018
CH061950H	WAL-MART PHARMACY 10-7242	367 W. MAIN STREET		FARMINGTON	AR	72730	01/01/2024
CH0619500	WALGREEN CO	DBA: WALGREENS #11781	2964 W MARTIN LUTHER KING BLVD	FAYETTEVILLE	AR	72704	07/01/2020
CH0619500	WALGREEN CO.	DBA: WALGREENS # 10586	440 HWY 412 W	SILOAM SPRINGS	AR	72761	04/01/2018
CH0619500	WALGREEN CO.	DBA: WALGREENS # 05237	1722 W WALNUT ST	ROGERS	AR	72756	04/01/2018
CH0619500	WALGREEN CO.	DBA: WALGREENS # 05041	2002 S THOMPSON STREET	SPRINGDALE	AR	72764	04/01/2018
CH0619500	WALGREEN CO.	DBA; WALGREENS #12670	3234 E. ROBINSON AVE	SPRINGDALE	AR	72764	07/01/2020
CH0619500	WALGREEN CO.	DBA: WALGREENS #13811	3251 W. SUNSET AVE.	SPRINGDALE	AR	72762	07/01/2020
CH0619500	WALGREEN CO.	DBA: WALGREENS # 07847	524 S SCHOOL AVE	FAYETTEVILLE	AR	72701-5957	07/01/2020
CH0619500	WALGREEN CO.	DBA: WALGREENS # 09813	2503 WEST PLEASANT GROVE ROAD	ROGERS	AR	72758	07/01/2020
CH0619500	WALGREEN CO.	DBA WALGREENS #13118	4015 WEST WEDINGTON DRIVE	FAYETTEVILLE	AR	72704	07/01/2020
CH0619500	WALGREEN CO.	DBA: WALGREENS # 05475	300 E TOWNSHIP ST	FAYETTEVILLE	AR	72703	10/01/2020
CH0619500	WALGREEN CO.	DBA WALGREENS #15763	591 S MILL ST	PRYOR	OK	74361-6015	07/01/2024
CH0619500	WALGREEN CO.	DBA: WALGREENS # 10643	1119 S MAIN ST	GROVE	OK	74344-2801	07/01/2024
CH0619500	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	01/01/2022
CH0619500	WALMART PHARMACY 10-3654	808 WEST WALNUT STREET		ROGERS	AR	72756	07/01/2018
CH061950Q	WALMART PHARMACY 10-3654	808 WEST WALNUT STREET		ROGERS	AR	72756	01/01/2024
CH0619500	WALMART PHARMACY 10-4375	4900 JENNIFER TERRACE		SPRINGDALE	AR	72762	07/01/2019
CH0619500	WALMART PHARMACY 10-4516	660 WEST MARTIN LUTHER KING BOULEVARD		FAYETTEVILLE	AR	72701	01/01/2020
CH061950X	WALMART PHARMACY 10-4516	660 WEST MARTIN LUTHER KING BOULEVARD		FAYETTEVILLE	AR	72701	01/01/2024
CH0619500	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH0619500	WALMART PHARMACY 10-6953	1800 E CENTERTON BLVD		BENTONVILLE	AR	72712	07/01/2024
CH0619500	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Billing Address	Insert	Recertification		St. Francis House NWA, Inc. 614 E. Emma suite 300 Springdale, AR 72764	2/12/2025 7:34 PM
Details	Last Recertification Date	Update	Recertification		2/12/2025 7:34:08 PM	2/12/2025 7:34 PM
Details	State	Update		Approved	Active	7/1/2024 12:01 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	6/18/2024 9:05 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		320988749	6/18/2024 9:05 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AR	6/18/2024 9:05 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1194587279	6/18/2024 9:05 AM
Medicaid Billing	NPI: State	Insert	Change Request		AR	6/18/2024 9:05 AM
Contacts	Signed By	Insert	New Registration		Semingson II, James Chief Executive Officer St. Francis House NWA inc dba Community Clinic 4797517417-6070	6/6/2024 12:08 PM
Details	340B ID	Update	New Registration		CH061950AD	6/6/2024 12:08 PM
Dates	Participating Approval Date	Update	New Registration		6/6/2024 12:08:24 PM	6/6/2024 12:08 PM
Details	State	Update	New Registration	Pending	Approved	6/6/2024 12:08 PM
Dates	Signed By Date	Update	New Registration		4/8/2024 7:25:08 AM	6/6/2024 12:08 PM
Dates	Start Date	Update	New Registration		7/1/2024 12:00:00 AM	6/6/2024 12:08 PM
Addresses	Main Address	Insert	New Registration		2630 E Citizens Dr, #3 Fayetteville, AR 72703-4797	4/5/2024 5:20 PM
Contacts	Authorizing Official	Insert	New Registration		Semingson II, James Chief Executive Officer St. Francis House NWA inc dba Community Clinic 4797517417-6070	4/5/2024 5:20 PM
Contacts	Primary Contact	Insert	New Registration		Smith, John L Compliance Director St. Francis House NWA inc dba Community Clinic 4797517417-6157	4/5/2024 5:20 PM
Details	Assistance Received From Date	Insert	New Registration			4/5/2024 5:20 PM
Details	Assistance Received To Date	Insert	New Registration			4/5/2024 5:20 PM
Details	Last Recertification Date	Insert	New Registration			4/5/2024 5:20 PM
Details	Grant Number	Insert	New Registration		H80CS04290	4/5/2024 5:20 PM
Details	340B ID	Insert	New Registration			4/5/2024 5:20 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/5/2024 5:20 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/5/2024 5:20 PM
Details	Medicare Provider Number	Insert	New Registration			4/5/2024 5:20 PM
Details	Entity Name	Insert	New Registration		St. Francis House NWA, Inc.	4/5/2024 5:20 PM
Details	NOFO Number	Insert	New Registration			4/5/2024 5:20 PM
Details	Program Code	Insert	New Registration		CH	4/5/2024 5:20 PM
Details	Entity Subname	Insert	New Registration		TruHealth Family Care	4/5/2024 5:20 PM
Dates	Participating Approval Date	Insert	New Registration			4/5/2024 5:20 PM
Details	State	Insert	New Registration		Pending	4/5/2024 5:20 PM
Dates	Registration Date	Insert	New Registration		4/5/2024 5:20:50 PM	4/5/2024 5:20 PM
Dates	Signed By Date	Insert	New Registration			4/5/2024 5:20 PM
Dates	Start Date	Insert	New Registration			4/5/2024 5:20 PM
Terminations	Termination Comments	Insert	New Registration			4/5/2024 5:20 PM
Terminations	Termination Date	Insert	New Registration			4/5/2024 5:20 PM
Terminations	Termination Effective Date	Insert	New Registration			4/5/2024 5:20 PM
Terminations	Termination Reason	Insert	New Registration			4/5/2024 5:20 PM

340B Drug Pricing Program Database