Covered Entity Details

CH06391G COMMUNITY HEALTH DEVELOPMENT INC (Active) - information as of 5/19/2025 12:51:02 AM

Main Details

Name

COMMUNITY HEALTH DEVELOPMENT INC

Subdivision Name

CHDI SBHC Uvalde

Type

HRSA-Funded Health Center

Site ID

BPS-H80-039169

340B ID

CH06391G

Grant Number

H80CS00130

Additional Details

Current Program Status

Active

Registration Date

9/23/2024

Participating Start Date

9/23/2024

Participating Approval Date

9/23/2024

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Community Health Development, Inc.
Mayela Castanon, Chief Executive Officer
(830) 278-5604 Ext: 3100

Primary Contact

Community Health Development, Inc
Carvel Collins, Pharmacist
(830) 278-7105 Ext: 3420

Addresses

Street Address

601 Dean St
Uvalde, TX 78801-4373

Billing Address

Community Health Development, Inc.
908 Evans St., Building A
Uvalde, TX 78801

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

Shipping Address 1

Community Health Development, Inc. Our Health Pharmacy
200 Evans St.
Uvalde, TX 78801

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
CH063910	Active	BPS-H80-002180	Community Health Development, Inc.	Our Health/Nuestro Centro de Salud	200 Evans St.	Uvalde	TX
CH06391A	Active	BPS-H80-004222	Community Health Development, Inc.	Rolling Hills Health	Hwy 83 & Oakhill Drive	Leakey	TX
CH06391D	Active	BPS-H80-000510	Community Health Development, Inc.	Canyon Health Center	700 Frio St.	Camp Wood	TX
CH06391E	Active	BPS-H80-008611	Community Health Development Inc	The Center for Community Wellness: Wellness Center	908 Evans St Ste B	Uvalde	TX
CH06391F	Active	BPS-H80-011021	Community Health Development Inc	Uvalde County Jail Clinic	339 King Fisher Lane	Uvalde	TX
CH06391G	Active	BPS-H80-039169	COMMUNITY HEALTH DEVELOPMENT INC	CHDI SBHC Uvalde	601 Dean St	Uvalde	TX
CH06391H	Active	BPS-H80-039807	COMMUNITY HEALTH DEVELOPMENT INC	Rolling Hills Health	140 W Ranch Road 337	Leakey	TX

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH063910	WALGREEN CO.	DBA: WALGREENS #13447	250 E. MAIN ST.	UVALDE	TX	78801-5639	02/15/2022
CH063910	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16485	7302 LOUIS PASTEUR DR STE 104	SAN ANTONIO	TX	78229	04/01/2022	02/15/2022
CH063910	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16485	7302 LOUIS PASTEUR DR STE 104	SAN ANTONIO	TX	78229	07/01/2022
CH063910	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	04/01/2022	02/15/2022
CH063910	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	07/01/2022

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification		2/10/2025 4:20:24 PM	2/10/2025 4:20 PM
Addresses	Shipping Address	Insert	Change Request		Community Health Development, Inc. Our Health Pharmacy 200 Evans St. Uvalde, TX 78801	9/23/2024 5:04 PM
Details	State	Update	OPA Edit	Approved	Active	9/23/2024 3:55 PM
Dates	Start Date	Update	OPA Edit	10/1/2024 12:00:00 AM	9/23/2024 12:00:00 AM	9/23/2024 3:55 PM
Contacts	Signed By	Insert	New Registration		Castanon, Mayela Chief Executive Officer Community Health Development, Inc. 8302785604-3100	9/23/2024 3:01 PM
Details	340B ID	Update	New Registration		CH06391G	9/23/2024 3:01 PM
Dates	Participating Approval Date	Update	New Registration		9/23/2024 3:01:59 PM	9/23/2024 3:01 PM
Details	State	Update	New Registration	Pending	Approved	9/23/2024 3:01 PM
Dates	Signed By Date	Update	New Registration		9/23/2024 11:53:51 AM	9/23/2024 3:01 PM
Dates	Start Date	Update	New Registration		10/1/2024 12:00:00 AM	9/23/2024 3:01 PM
Addresses	Main Address	Insert	New Registration		601 Dean St Uvalde, TX 78801-4373	9/23/2024 11:53 AM
Addresses	Billing Address	Insert	New Registration		Community Health Development, Inc. 908 Evans St., Building A Uvalde, TX 78801	9/23/2024 11:53 AM
Contacts	Authorizing Official	Insert	New Registration		Castanon, Mayela Chief Executive Officer Community Health Development, Inc. 8302785604-3100	9/23/2024 11:53 AM
Contacts	Primary Contact	Insert	New Registration		Collins, Carvel Pharmacist Community Health Development, Inc 8302787105-3420	9/23/2024 11:53 AM
Details	Assistance Received From Date	Insert	New Registration			9/23/2024 11:53 AM
Details	Assistance Received To Date	Insert	New Registration			9/23/2024 11:53 AM
Details	Last Recertification Date	Insert	New Registration			9/23/2024 11:53 AM
Details	Grant Number	Insert	New Registration		H80CS00130	9/23/2024 11:53 AM
Details	340B ID	Insert	New Registration			9/23/2024 11:53 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			9/23/2024 11:53 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			9/23/2024 11:53 AM
Details	Medicare Provider Number	Insert	New Registration			9/23/2024 11:53 AM
Details	Entity Name	Insert	New Registration		COMMUNITY HEALTH DEVELOPMENT INC	9/23/2024 11:53 AM
Details	NOFO Number	Insert	New Registration			9/23/2024 11:53 AM
Details	Program Code	Insert	New Registration		CH	9/23/2024 11:53 AM
Details	Entity Subname	Insert	New Registration		CHDI SBHC Uvalde	9/23/2024 11:53 AM
Dates	Participating Approval Date	Insert	New Registration			9/23/2024 11:53 AM
Details	State	Insert	New Registration		Pending	9/23/2024 11:53 AM
Dates	Registration Date	Insert	New Registration		9/23/2024 11:53:48 AM	9/23/2024 11:53 AM
Dates	Signed By Date	Insert	New Registration			9/23/2024 11:53 AM
Dates	Start Date	Insert	New Registration			9/23/2024 11:53 AM
Terminations	Termination Comments	Insert	New Registration			9/23/2024 11:53 AM
Terminations	Termination Date	Insert	New Registration			9/23/2024 11:53 AM
Terminations	Termination Effective Date	Insert	New Registration			9/23/2024 11:53 AM
Terminations	Termination Reason	Insert	New Registration			9/23/2024 11:53 AM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

Grantee Sites

Grantee Sites Contract Pharmacies

History