Covered Entity Details

CH04691A STEDMAN - WADE HEALTH SERVICES, INC., THE (Active) - information as of 5/13/2025 1:32:50 AM

Main Details

Name

STEDMAN - WADE HEALTH SERVICES, INC., THE

Subdivision Name

STEDMAN FAMILY DENTAL CENTER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-005590

340B ID

CH04691A

Grant Number

H80CS00490

Additional Details

Current Program Status

Active

Registration Date

7/1/2003

Participating Start Date

7/1/2003

Participating Approval Date

3/3/2004

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

Stedman-Wade Health Services, Inc
MARGARET COVINGTON, CEO
(910) 483-6694 Ext: 7030

Primary Contact

Stedman-Wade Health Services, Inc.
Janel Lewis, ADMINISTRATIVE ASSISTANT
(910) 483-6694 Ext: 7015

Addresses

Street Address

6540 Clinton Rd
Stedman, NC 28391-8846

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
ENTITY NAME, CONTACT, ADDRESS CORRECTION	08/12/2005

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	WALGREEN CO.	WALGREENS #19907	5989 MORGANTON RD	FAYETTEVILLE	NC	28314	04/04/2019	07/01/2019			07/01/2019
Contract Detail	WALGREEN CO.	WALGREENS #19644	7860 RAEFORD RD	FAYETTEVILLE	NC	28304	04/04/2019	07/01/2019			07/01/2019

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH046910	Active	BPS-H80-003334	STEDMAN-WADE HEALTH SERVICES, INC.	WADE FAMILY MEDICAL CENTER	7118 MAIN STREET	WADE	NC
CH04691A	Active	BPS-H80-005590	STEDMAN - WADE HEALTH SERVICES, INC., THE	STEDMAN FAMILY DENTAL CENTER	6540 Clinton Rd	Stedman	NC
CH04691D	Active	BPS-H80-010978	STEDMAN - WADE HEALTH SERVICES, INC., THE	Wade Family Medical Center-Downtown	2313 Murchison Rd	Fayetteville	NC
CH04691E	Active	BPS-H80-021608	STEDMAN - WADE HEALTH SERVICES, INC., THE	Adult Health Clinic/Cumberland County Health Department	1235 Ramsey St	Fayetteville	NC
CH04691F	Active	BPS-H80-027675	STEDMAN WADE HEALTH SERVICES INC	Wade Family Medical Center - Downtown	2313 Murchison Rd	Fayetteville	NC

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH046910	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2024
CH046910	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2024
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03864	3100 LEGION RD.	HOPE MILLS	NC	28348	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04169	522 OWEN DR	FAYETTEVILLE	NC	28304	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04435	9539 CLIFFDALE RD	FAYETTEVILLE	NC	28304	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05504	100 LAW ROAD	FAYETTEVILLE	NC	28311	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05587	1137 NORTH BRAGG BLVD.	SPRING LAKE	NC	28390	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07163	3966 S. MAIN STREET	HOPE MILLS	NC	28348	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY# 6633	7496 ROCKFISH RD.	FAYETTEVILLE	NC	28306	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07500	80 W. JACKSON BLVD.	ERWIN	NC	28339	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07597	803 SOUTH MAIN ST.	LILLINGTON	NC	27546	10/01/2020
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04095	3026 BRAGG BLVD.	FAYETTEVILLE	NC	28303	07/01/2022
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04293	4923 RAEFORD RD.	FAYETTEVILLE	NC	28304	07/01/2022
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07540	404 RAMSEY ST.	FAYETTEVILLE	NC	28301	07/01/2022
CH046910	NORTH CAROLINA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16231	2056 SKIBO RD	FAYETTEVILLE	NC	28314	07/01/2022
CH046910	STEDMAN DRUG CENTER, INC	STEDMAN DRUG CENTER	7445 CLINTON RD	STEDMAN	NC	28391-8901	08/01/2004
CH046910	WALGREEN CO.	DBA: WALGREENS # 06547	3300 RAMSEY ST	FAYETTEVILLE	NC	28301	01/01/2014
CH046910	WALGREEN CO.	DBA: WALGREENS # 07153	2960 HOPE MILLS ROAD	FAYETTEVILLE	NC	28306	01/01/2014
CH046910	WALGREEN CO.	DBA: WALGREENS # 07805	3296 VILLAGE DRIVE	FAYETTEVILLE	NC	28304	01/01/2014
CH046910	WALGREEN CO.	DBA: WALGREENS #11691	110 GROVE ST.	FAYETTEVILLE	NC	28301	01/01/2014
CH046910	WALGREEN CO.	DBA: WALGREENS # 06548	1600 SKIBO ROAD	FAYETTEVILLE	NC	28303	01/01/2016
CH046910	WALGREEN CO.	DBA: WALGREENS #11693	200 N. BRAGG BLVD.	SPRING LAKE	NC	28390	01/01/2016
CH046910	WALGREEN CO.	DBA: WALGREENS #12895	1501 W. CUMBERLAND ST.	DUNN	NC	28334	01/01/2016
CH046910	WALGREEN CO.	DBA: WALGREENS #15151	6330 RAEFORD RD.	FAYETTEVILLE	NC	28304-2862	01/01/2016
CH046910	WALGREEN CO.	WALGREENS #19644	7860 RAEFORD RD	FAYETTEVILLE	NC	28304	07/01/2019
CH04691D	WALGREEN CO.	WALGREENS #19644	7860 RAEFORD RD	FAYETTEVILLE	NC	28304	07/01/2019
CH04691E	WALGREEN CO.	WALGREENS #19644	7860 RAEFORD RD	FAYETTEVILLE	NC	28304	07/01/2019
CH04691E	WALGREEN CO.	WALGREENS #19907	5989 MORGANTON RD	FAYETTEVILLE	NC	28314	07/01/2019
CH04691D	WALGREEN CO.	WALGREENS #19907	5989 MORGANTON RD	FAYETTEVILLE	NC	28314	07/01/2019
CH046910	WALGREEN CO.	WALGREENS #19907	5989 MORGANTON RD	FAYETTEVILLE	NC	28314	07/01/2019
CH04691A	WALGREEN CO.	WALGREENS #19907	5989 MORGANTON RD	FAYETTEVILLE	NC	28314	07/01/2019
CH04691A	WALGREEN CO.	WALGREENS #19644	7860 RAEFORD RD	FAYETTEVILLE	NC	28304	07/01/2019
CH046910	Walgreens #21420	Walgreens Central Fill #21420	8440 Times Dispatch Blvd Ste. 400	Mechanicsville	VA	23116	07/01/2025
CH046910	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	01/01/2014	06/24/2015

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/13/2024 2:46:10 PM	2/11/2025 11:36:10 AM	2/11/2025 11:36 AM
Details	Last Recertification Date	Update	Recertification	2/3/2023 8:42:15 AM	2/13/2024 2:46:10 PM	2/13/2024 2:46 PM
Details	Last Recertification Date	Update	Recertification	2/9/2022 2:05:04 PM	2/3/2023 8:42:15 AM	2/3/2023 8:42 AM
Details	Last Recertification Date	Update	Recertification	2/3/2021 11:05:34 AM	2/9/2022 2:05:04 PM	2/9/2022 2:05 PM
Contacts	Primary Contact	Update	Profile Change Request	Parker, Nahieka ADMINISTRATIVE ASSISTANT Stedman-Wade Health Services, Inc. 9104836694-7024	Lewis, Janel ADMINISTRATIVE ASSISTANT Stedman-Wade Health Services, Inc. 9104836694-7015	2/2/2022 10:31 AM
Details	Last Recertification Date	Update	Recertification	2/10/2020 4:39:37 PM	2/3/2021 11:05:34 AM	2/3/2021 11:05 AM
Details	Last Recertification Date	Update	Recertification	2/20/2019 3:10:31 PM	2/10/2020 4:39:37 PM	2/10/2020 4:39 PM
Contacts	Primary Contact	Update	Profile Change Request	Webb, Shelbi ADMINISTRATIVE ASSISTANT Stedman-Wade Health Services, Inc. 9104836694-7015	Parker, Nahieka ADMINISTRATIVE ASSISTANT Stedman-Wade Health Services, Inc. 9104836694-7024	1/22/2020 1:44 PM
Details	Last Recertification Date	Update	Recertification	2/27/2018 1:54:25 PM	2/20/2019 3:10:31 PM	2/20/2019 3:10 PM
Contacts	Primary Contact	Update	Profile Change Request	ALEXANDER, AMANDA ADMINISTRATIVE ASSISTANT Stedman-Wade Health Services, Inc. 9104836694-7015	Webb, Shelbi ADMINISTRATIVE ASSISTANT Stedman-Wade Health Services, Inc. 9104836694-7015	2/27/2018 2:45 PM
Details	Last Recertification Date	Update	Recertification	1/31/2017 12:00:00 AM	2/27/2018 1:54:25 PM	2/27/2018 1:54 PM
Contacts	Authorizing Official	Update		COVINGTON, MARGARET CEO 9104836694-7030	COVINGTON, MARGARET CEO Stedman-Wade Health Services, Inc 9104836694-7030	2/27/2018 1:47 PM
Contacts	Primary Contact	Update		ALEXANDER, AMANDA ADMINISTRATIVE ASSISTANT 9104836694-7015	ALEXANDER, AMANDA ADMINISTRATIVE ASSISTANT Stedman-Wade Health Services, Inc. 9104836694-7015	2/13/2018 2:40 PM
Addresses	Main Address	Insert			6540 Clinton Rd Stedman, NC 28391-8846	1/31/2017 4:47 PM
Contacts	Primary Contact	Insert			ALEXANDER, AMANDA ADMINISTRATIVE ASSISTANT 9104836694-7015	1/31/2017 4:47 PM
Contacts	Authorizing Official	Insert			COVINGTON, MARGARET CEO 9104836694-7030	1/31/2017 4:47 PM
Details	Last Recertification Date	Update		2/24/2016 12:00:00 AM	1/31/2017 12:00:00 AM	1/31/2017 4:47 PM
Details	Last Recertification Date	Update		1/28/2015 12:00:00 AM	2/24/2016 12:00:00 AM	2/24/2016 1:09 PM
Details	Last Recertification Date	Update		2/10/2014 12:00:00 AM	1/28/2015 12:00:00 AM	1/28/2015 10:12 AM
Details	Entity Name	Update		STEDMAN-WADE HEALTH SERVICES, INC.	STEDMAN - WADE HEALTH SERVICES, INC., THE	3/31/2014 4:25 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	2/10/2014 12:00:00 AM	2/10/2014 4:42 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/26/2013 10:41 AM
Details	Last Recertification Date	Insert				8/12/2005 11:35 AM
Details	Grant Number	Insert			H80CS00490	8/12/2005 11:35 AM
Details	340B ID	Insert			CH04691A	8/12/2005 11:35 AM
Details	Is Authorizing Official EHB Data	Insert				8/12/2005 11:35 AM
Dates	Last Date That 340B Drugs Purchased	Insert				8/12/2005 11:35 AM
Details	Medicare Provider Number	Insert				8/12/2005 11:35 AM
Details	Entity Name	Insert			STEDMAN-WADE HEALTH SERVICES, INC.	8/12/2005 11:35 AM
Details	Program Code	Insert			CH	8/12/2005 11:35 AM
Details	Entity Subname	Insert			STEDMAN FAMILY DENTAL CENTER	8/12/2005 11:35 AM
Dates	Participating Approval Date	Insert			3/3/2004 12:00:00 AM	8/12/2005 11:35 AM
Details	State	Insert			Active	8/12/2005 11:35 AM
Dates	Registration Date	Insert			7/1/2003 12:00:00 AM	8/12/2005 11:35 AM
Dates	Signed By Date	Insert				8/12/2005 11:35 AM
Dates	Start Date	Insert			7/1/2003 12:00:00 AM	8/12/2005 11:35 AM
Terminations	Termination Comments	Insert				8/12/2005 11:35 AM
Terminations	Termination Date	Insert				8/12/2005 11:35 AM
Terminations	Termination Effective Date	Insert				8/12/2005 11:35 AM
Terminations	Termination Reason	Insert				8/12/2005 11:35 AM
Details	Comments Public	Insert			ENTITY NAME, CONTACT, ADDRESS CORRECTION	8/12/2005 11:35 AM

340B Drug Pricing Program Database