Covered Entity Details

CH10208J ONE COMMUNITY HEALTH (Active) - information as of 5/23/2025 12:02:39 AM

Main Details

Name

ONE COMMUNITY HEALTH

Subdivision Name

One Community Health - Dufur School Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-038387

340B ID

CH10208J

Grant Number

H80CS00426

Additional Details

Current Program Status

Active

Registration Date

7/2/2024

Participating Start Date

10/1/2024

Participating Approval Date

8/13/2024

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

One Community Health
Renerose Hinkle, Chief Financial Officer
(541) 256-4404

Primary Contact

One Community Health
Christine Farmer, Health Informatics Manager
(916) 806-4251

Addresses

Street Address

802 NE 5th St
Dufur, OR 97021

Billing Address

One Community Health
849 Pacific Avenue
Hood River, OR 97031

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
Contract Detail	SAFEWAY INC	SAFEWAY PHARMACY #1489	520 MT HOOD ST	THE DALLES	OR	97058-3555	08/13/2024	10/01/2024			10/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH102080	Active	BPS-H80-000732	One Community Health	One Community Health - Hood River	849 Pacific Ave	Hood River	OR
CH10208B	Active	BPS-H80-010144	One Community Health	One Community Health -- The Dalles	1040 Webber St	The Dalles	OR
CH10208C	Active	BPS-H80-014833	One Community Health	One Community Health - Hood River Valley High School Health Center	1220 Indian Creek Road	Hood River	OR
CH10208D	Active	BPS-H80-031828	One Community Health	Mobile Health Unit 1	849 Pacific Ave	Hood River	OR
CH10208E	Active	BPS-H80-033029	ONE COMMUNITY HEALTH	Mobile Health Unit 2	849 Pacific Ave	Hood River	OR
CH10208F	Active	BPS-H80-036939	ONE COMMUNITY HEALTH	One Community Health -- The Dalles Express Clinic	1010 Webber St	The Dalles	OR
CH10208G	Active	BPS-H80-037655	ONE COMMUNITY HEALTH	One Community Health - White Salmon	65371 Highway 14	White Salmon	WA
CH10208H	Active	BPS-H80-037654	ONE COMMUNITY HEALTH	One Community Health - Stevenson	875 SW Rock Creek Dr	Stevenson	WA
CH10208J	Active	BPS-H80-038387	ONE COMMUNITY HEALTH	One Community Health - Dufur School Health Center	802 NE 5th St	Dufur	OR

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH102080	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/01/2024
CH102080	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2024
CH102080	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2020
CH102080	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2020
CH102080	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2024
CH102080	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2024
CH102080	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2020
CH102080	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2024
CH102080	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2024
CH102080	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2020
CH102080	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2024
CH102080	CORAM ALTERNATE SITE SERVICES, INC	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	12310 WORLD TRADE DRIVE SUITE 100	SAN DIEGO	CA	92128	07/01/2025
CH102080	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	7358 S W DURHAM ROAD	PORTLAND	OR	97224	07/01/2020	01/24/2025
CH102080	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	2345 WATERS DRIVE	MENDOTA HEIGHTS	MN	55120	07/01/2025
CH102080	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2024
CH102080	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2024
CH102080	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2024
CH102080	FRED MEYER	1215 W 6TH ST		THE DALLES	OR	97058	10/01/2016
CH10208C	FRED MEYER	1215 W 6TH ST		THE DALLES	OR	97058	06/01/2023
CH102080	HEALTHY OPTIONS INC	DBA POSTAL PRESCRIPTION SVCS	3500 SE 26TH AVE PO BOX 2718	PORTLAND	OR	97202	10/01/2016
CH102080	HI-SCHOOL PHARMACY INC	HI-SCHOOL PHARMACY #3500	291 E JEWETT BLVD PO BOX 1609	WHITE SALMON	WA	98672-3000	04/01/2024
CH10208E	HI-SCHOOL PHARMACY INC	HI-SCHOOL PHARMACY #3500	291 E JEWETT BLVD PO BOX 1609	WHITE SALMON	WA	98672-3000	10/01/2024
CH102080	KMART PHARMACY #3888		2640 WEST 6TH STREET	THE DALLES	OR	97058	01/01/2017	07/01/2017
CH102080	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2024
CH102080	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2024
CH102080	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2024
CH102080	SAFEWAY INC	SAFEWAY PHARMACY #1123	2249 CASCADE AVENUE	HOOD RIVER	OR	97031	04/01/2013
CH102080	SAFEWAY INC	SAFEWAY PHARMACY #1489	520 MT HOOD ST	THE DALLES	OR	97058-3555	07/01/2013
CH10208H	SAFEWAY INC	SAFEWAY PHARMACY #1123	2249 CASCADE AVENUE	HOOD RIVER	OR	97031	10/01/2024
CH10208J	SAFEWAY INC	SAFEWAY PHARMACY #1489	520 MT HOOD ST	THE DALLES	OR	97058-3555	10/01/2024
CH102080	THRIFTY PAYLESS, INC.	RITE AID #5334	1400 WEST 6TH STREET	THE DALLES	OR	97058	07/01/2013	04/26/2016
CH102080	THRIFTY PAYLESS, INC.	RITE AID #5328	2049 WEST CASCADE AVENUE	HOOD RIVER	OR	97031	07/01/2013	04/26/2016
CH102080	THRIFTY PAYLESS, INC.	RITE AID #5334	1400 WEST 6TH STREET	THE DALLES	OR	97058	10/01/2017
CH102080	THRIFTY PAYLESS, INC.	RITE AID #5328	2049 WEST CASCADE AVENUE	HOOD RIVER	OR	97031	10/01/2017
CH10208F	THRIFTY PAYLESS, INC.	RITE AID #5328	2049 WEST CASCADE AVENUE	HOOD RIVER	OR	97031	10/01/2024
CH102080	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2017
CH102080	WAL-MART PHARMACY 10-1876	2700 WASCO AVENUE		HOOD RIVER	OR	97031	07/01/2016
CH10208D	WAL-MART PHARMACY 10-1876	2700 WASCO AVENUE		HOOD RIVER	OR	97031	06/01/2023
CH102080	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2017
CH102080	WALGREEN CO	DBA: WALGREENS #11696	1727 12TH ST	HOOD RIVER	OR	97031	07/01/2013
CH10208B	WALGREEN CO	DBA: WALGREENS #11696	1727 12TH ST	HOOD RIVER	OR	97031	06/01/2023
CH102080	WALGREEN CO.	DBA: WALGREENS # 09651	515 MT HOOD ST	THE DALLES	OR	97058	07/01/2013
CH102080	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	07/01/2013	07/10/2015
CH102080	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2013	07/10/2015
CH102080	WELLPARTNER, INC	20800 SW 115TH AVE	SUITE 100	TUALATIN	OR	97062	01/01/2014	06/29/2018
CH102080	WRP LLC	DBA WIND RIVER PHARMACY	280 SW 2ND ST PO BOX 917	STEVENSON	WA	98648-4226	04/01/2024
CH10208G	WRP LLC	DBA WIND RIVER PHARMACY	280 SW 2ND ST PO BOX 917	STEVENSON	WA	98648-4226	10/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification		2/10/2025 12:15:46 PM	2/10/2025 12:15 PM
Details	State	Update		Approved	Active	10/1/2024 12:01 AM
Addresses	Main Address	Update	Change Request	805 NE 5th St Dufur, OR 97021	802 NE 5th St Dufur, OR 97021	8/20/2024 1:07 PM
Contacts	Signed By	Insert	New Registration		Hinkle, Renerose Chief Financial Officer One Community Health 5412564404	8/13/2024 7:29 AM
Details	340B ID	Update	New Registration		CH10208J	8/13/2024 7:29 AM
Dates	Participating Approval Date	Update	New Registration		8/13/2024 7:29:51 AM	8/13/2024 7:29 AM
Details	State	Update	New Registration	Pending	Approved	8/13/2024 7:29 AM
Dates	Signed By Date	Update	New Registration		7/2/2024 11:41:11 AM	8/13/2024 7:29 AM
Dates	Start Date	Update	New Registration		10/1/2024 12:00:00 AM	8/13/2024 7:29 AM
Addresses	Main Address	Insert	New Registration		805 NE 5th St Dufur, OR 97021	7/2/2024 11:41 AM
Addresses	Billing Address	Insert	New Registration		One Community Health 849 Pacific Avenue Hood River, OR 97031	7/2/2024 11:41 AM
Contacts	Authorizing Official	Insert	New Registration		Hinkle, Renerose Chief Financial Officer One Community Health 5412564404	7/2/2024 11:41 AM
Contacts	Primary Contact	Insert	New Registration		Farmer, Christine Health Informatics Manager One Community Health 9168064251	7/2/2024 11:41 AM
Details	Assistance Received From Date	Insert	New Registration			7/2/2024 11:41 AM
Details	Assistance Received To Date	Insert	New Registration			7/2/2024 11:41 AM
Details	Last Recertification Date	Insert	New Registration			7/2/2024 11:41 AM
Details	Grant Number	Insert	New Registration		H80CS00426	7/2/2024 11:41 AM
Details	340B ID	Insert	New Registration			7/2/2024 11:41 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/2/2024 11:41 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/2/2024 11:41 AM
Details	Medicare Provider Number	Insert	New Registration			7/2/2024 11:41 AM
Details	Entity Name	Insert	New Registration		ONE COMMUNITY HEALTH	7/2/2024 11:41 AM
Details	NOFO Number	Insert	New Registration			7/2/2024 11:41 AM
Details	Program Code	Insert	New Registration		CH	7/2/2024 11:41 AM
Details	Entity Subname	Insert	New Registration		One Community Health - Dufur School Health Center	7/2/2024 11:41 AM
Dates	Participating Approval Date	Insert	New Registration			7/2/2024 11:41 AM
Details	State	Insert	New Registration		Pending	7/2/2024 11:41 AM
Dates	Registration Date	Insert	New Registration		7/2/2024 11:41:08 AM	7/2/2024 11:41 AM
Dates	Signed By Date	Insert	New Registration			7/2/2024 11:41 AM
Dates	Start Date	Insert	New Registration			7/2/2024 11:41 AM
Terminations	Termination Comments	Insert	New Registration			7/2/2024 11:41 AM
Terminations	Termination Date	Insert	New Registration			7/2/2024 11:41 AM
Terminations	Termination Effective Date	Insert	New Registration			7/2/2024 11:41 AM
Terminations	Termination Reason	Insert	New Registration			7/2/2024 11:41 AM

340B Drug Pricing Program Database