Covered Entity Details

CH06175N GATEWAY COMMUNITY HEALTH CENTER, INC. (Active) - information as of 5/9/2025 10:41:43 PM

Main Details

Name

GATEWAY COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Gateway Community Health Center-West Side Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-039324

340B ID

CH06175N

Grant Number

H80CS00779

Additional Details

Current Program Status

Active

Registration Date

1/13/2025

Participating Start Date

4/1/2025

Participating Approval Date

1/29/2025

Last Recertification Date

Contacts

Authorizing Official

Gateway Community Health Center, Inc
Elmo Lopez, CEO
(956) 625-3030

Primary Contact

Gateway Community Health Center Inc. - Laredo
Daniel Cabrera, Chief Operating Officer
(956) 625-3036

Addresses

Street Address

1702 Lafayette St
Laredo, TX 78041

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
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

Gateway Community Health Center Inc.
1515 Pappas St
Laredo, TX 78041-1705

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
CH061750	Active	BPS-H80-000407	GATEWAY COMMUNITY HEALTH CENTER INC	GATEWAY COMMUNITY HEALTH CENTER, INC.	1515 Pappas St	Laredo	TX
CH06175A	Active	BPS-H80-003964	GATEWAY COMMUNITY HEALTH CENTER INC	SOUTH CLINIC	2007 S Zapata Hwy	Laredo	TX
CH06175C	Terminated	BPS-H80-007358	GATEWAY COMMUNITY HEALTH CENTER INC	CENTRO COMMUNITARIO-EL CENIZO	3519 Cecilia Ln	Laredo	TX
CH06175D	Active	BPS-H80-008214	GATEWAY COMMUNITY HEALTH CENTER INC	Zapata	210 North Rathmell Street	Zapata	TX
CH06175E	Active	BPS-H80-008213	GATEWAY COMMUNITY HEALTH CENTER INC	Hebbronville	473 State Highway 285	Hebbronville	TX
CH06175F	Terminated	BPS-H80-021016	GATEWAY COMMUNITY HEALTH CENTER INC	Mobile Dental Clinic	210 North Rathmell Ave.	Zapata	TX
CH06175G	Active	BPS-H80-027294	GATEWAY COMMUNITY HEALTH CENTER INC	Shiloh Clinic	208 Shiloh Dr STE 1	Laredo	TX
CH06175H	Active	BPS-H80-029781	GATEWAY COMMUNITY HEALTH CENTER INC	Laredo College South Clinic	5500 S. Zapata Hwy	Laredo	TX
CH06175J	Active	BPS-H80-032951	Gateway Community Health Center Inc	Mobile Medical Clinic	1515 Pappas St	Laredo	TX
CH06175K	Active	BPS-H80-036198	Gateway Community Health Center Inc	GCHC-Dr Garza Clinic	6801 Mcpherson Rd Ste 336	Laredo	TX
CH06175L	Active	BPS-H80-036987	Gateway Community Health Center Inc	GCHC- Dr Martinez Clinic	7210 Mcpherson Rd. STE 108	Laredo	TX
CH06175M	Active	BPS-H80-039612	GATEWAY COMMUNITY HEALTH CENTER, INC.	Women's Health Mobile Clinic	1515 Pappas St	Laredo	TX
CH06175N	Active	BPS-H80-039324	GATEWAY COMMUNITY HEALTH CENTER, INC.	Gateway Community Health Center-West Side Clinic	1702 Lafayette St	Laredo	TX

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH061750	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	05/03/2023
CH061750	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	05/03/2023
CH061750	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	05/03/2023
CH061750	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	05/03/2023
CH061750	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	05/03/2023
CH061750	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	05/03/2023
CH061750	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	05/03/2023
CH061750	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2022
CH061750	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2022
CH061750	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 10820	3527 JAIME ZAPATA MEMORIAL HWY. SUITE 102	LAREDO	TX	78043	10/01/2019
CH061750	CVS PHARMACY, INC.	DBA CVS/PHARMACY #10821	709 GUADALUPE STREET	LAREDO	TX	78040	10/01/2019
CH061750	CVS PHARMACY, INC.	CVS/PHARMACY # 10817	1205 NORTH US HIGHWAY 83	ZAPATA	TX	78076	10/01/2019
CH061750	CVS PHARMACY, INC.	CVS PHARMACY # 16252	7501 SAN DARIO AVE	LAREDO	TX	78045	10/01/2019
CH061750	CVS PHARMACY, INC.	DBA CVS/PHARMACY #10446	1019 EAST CALTON RD.	LAREDO	TX	78041	10/01/2019
CH061750	CVS PHARMACY, INC.	CVS PHARMACY # 17197	1910 BOB BULLOCK LOOP	LAREDO	TX	78043	10/01/2021
CH061750	EL RIO FAMILY CENTER PHARMACY		2100 CORPUS CHRISTI SUITE 9	LAREDO	TX	78043	04/01/2016	09/30/2016
CH061750	EL RIO PHARMACY		6801 MCPHERSON RD STE102	LAREDO	TX	78041	04/01/2016	09/30/2016
CH061750	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	05/03/2023
CH061750	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	05/03/2023
CH061750	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	05/03/2023
CH061750	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	05/03/2023
CH061750	GENOA HEALTHCARE LLC	1500 PAPPAS ST STE P		LAREDO	TX	78041	01/01/2025
CH061750	H-E-B, LP	H-E-B PHARMACY WAREHOUSE	6520 FRATT RD	SAN ANTONIO	TX	78218	07/01/2018	07/24/2023
CH061750	HEB PHARMACY #095	1911 NE BOB BULLOCK		LAREDO	TX	78045	10/01/2017
CH061750	HEB PHARMACY #186	2310 E. SAUNDERS		LAREDO	TX	78041	10/01/2017
CH061750	HEB PHARMACY #207	1301 GUADALUPE STREET		LAREDO	TX	78040	10/01/2017
CH061750	HEB PHARMACY #255	4801 SAN DARIO		LAREDO	TX	78041	10/01/2017
CH061750	HEB PHARMACY #449	7811 MCPHERSON RD		LAREDO	TX	78045	10/01/2017
CH061750	HEB PHARMACY #570	210 WEST DEL MAR BLVD.		LAREDO	TX	78041	10/01/2017
CH061750	HEB PHARMACY #586	2314 S ZAPATA HWY		LAREDO	TX	78046	10/01/2017
CH061750	HEB PHARMACY WAREHOUSE 208	H-E-B, LP	5311 DIETRICH RD STE 100	SAN ANTONIO	TX	78219	07/21/2023
CH061750	HEB SPECIALTY PHARMACY #701	3503 FREDERICKSBURG RD	STE 450	SAN ANTONIO	TX	78201	10/01/2023
CH061750	LAKESIDE PHARMACY SOUTH		4151 JAIME ZAPATA MEMORIAL HWY. STE., 20	LAREDO	TX	78043	04/01/2016	09/30/2016
CH061750	LAN RX PHARMACY II	NIGER PHARMACY LLC	1901 FREES STREET SUITE 2	LAREDO	TX	78046-7129	07/01/2016	07/01/2017
CH061750	LANRX PHARMACY	LANRX PHARMACY	2110 LOMAS DEL SUR STE 105	LAREDO	TX	78046	07/01/2016	07/01/2017
CH061750	LIFECARE PHARMACY	LIFECARE OF BROWNFIELD LLC	102 N PINE ST	HEBBRONVILLE	TX	78361	05/03/2023
CH061750	MARTINEZ PHARMACY	1407 JACAMAN	PO BOX 451668	LAREDO	TX	78045	10/01/2018	11/03/2022
CH061750	NEIGHBORCARE PHARMACY SERVICES, LLC	OMNICARE OF SAN ANTONIO	12460 NETWORK BLVD SUITE 101	SAN ANTONIO	TX	78249	01/01/2022
CH061750	OMNICARE OF FORT WORTH	14450 TRINITY BLVD, SUITE 200		FORT WORTH	TX	76155	01/01/2022
CH061750	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	01/01/2025
CH061750	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2025
CH061750	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	01/01/2025
CH061750	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	01/01/2025
CH061750	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	01/01/2025
CH061750	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	01/01/2025
CH061750	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH061750	WAL-MART PHARMACY 10-0554	5610 SAN BERNARDO AVE		LAREDO	TX	78041	04/01/2016
CH061750	WAL-MART PHARMACY 10-3518	2320 BOB BULLOCK LOOP		LAREDO	TX	78043	10/01/2017
CH061750	WAL-MART PHARMACY 10-3623	4401 HIGHWAY 83 SOUTH		LAREDO	TX	78046	04/01/2016
CH061750	WAL-MART PHARMACY 10-5713	2615 NE BOB BULLOCK LOOP		LAREDO	TX	78045	07/01/2016
CH061750	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH061750	WALGREEN CO.	DBA: WALGREENS #12357	2219 E. SAUNDERS ST.	LAREDO	TX	78041-5431	04/01/2020
CH061750	WALGREEN CO.	DBA: WALGREENS #11816	7610 MCPHERSON RD.	LAREDO	TX	78041	04/01/2020
CH061750	WALGREEN CO.	DBA: WALGREENS #11817	1119 GUADALUPE ST.	LAREDO	TX	78040-5248	04/01/2020
CH061750	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	01/01/2022
CH061750	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/01/2022
CH061750	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/01/2022
CH061750	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2023
CH061750	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Shipping Address	Insert	Change Request		Gateway Community Health Center Inc. 1515 Pappas St Laredo, TX 78041-1705	4/21/2025 7:46 AM
Details	State	Update		Approved	Active	4/1/2025 12:01 AM
Contacts	Signed By	Insert	New Registration		Lopez, Elmo CEO Gateway Community Health Center, Inc 9566253030	1/29/2025 1:08 PM
Details	340B ID	Update	New Registration		CH06175N	1/29/2025 1:08 PM
Dates	Participating Approval Date	Update	New Registration		1/29/2025 1:08:17 PM	1/29/2025 1:08 PM
Details	State	Update	New Registration	Pending	Approved	1/29/2025 1:08 PM
Dates	Signed By Date	Update	New Registration		1/13/2025 12:25:02 PM	1/29/2025 1:08 PM
Dates	Start Date	Update	New Registration		4/1/2025 12:00:00 AM	1/29/2025 1:08 PM
Addresses	Main Address	Insert	New Registration		1702 Lafayette St Laredo, TX 78041	1/13/2025 12:25 PM
Contacts	Primary Contact	Insert	New Registration		Cabrera, Daniel Chief Operating Officer Gateway Community Health Center Inc. - Laredo 9566253036	1/13/2025 12:25 PM
Contacts	Authorizing Official	Insert	New Registration		Lopez, Elmo CEO Gateway Community Health Center, Inc 9566253030	1/13/2025 12:25 PM
Details	Assistance Received From Date	Insert	New Registration			1/13/2025 12:25 PM
Details	Assistance Received To Date	Insert	New Registration			1/13/2025 12:25 PM
Details	Last Recertification Date	Insert	New Registration			1/13/2025 12:25 PM
Details	Grant Number	Insert	New Registration		H80CS00779	1/13/2025 12:25 PM
Details	340B ID	Insert	New Registration			1/13/2025 12:25 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/13/2025 12:25 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/13/2025 12:25 PM
Details	Medicare Provider Number	Insert	New Registration			1/13/2025 12:25 PM
Details	Entity Name	Insert	New Registration		GATEWAY COMMUNITY HEALTH CENTER, INC.	1/13/2025 12:25 PM
Details	NOFO Number	Insert	New Registration			1/13/2025 12:25 PM
Details	Program Code	Insert	New Registration		CH	1/13/2025 12:25 PM
Details	Entity Subname	Insert	New Registration		Gateway Community Health Center-West Side Clinic	1/13/2025 12:25 PM
Dates	Participating Approval Date	Insert	New Registration			1/13/2025 12:25 PM
Details	State	Insert	New Registration		Pending	1/13/2025 12:25 PM
Dates	Registration Date	Insert	New Registration		1/13/2025 12:25:00 PM	1/13/2025 12:25 PM
Dates	Signed By Date	Insert	New Registration			1/13/2025 12:25 PM
Dates	Start Date	Insert	New Registration			1/13/2025 12:25 PM
Terminations	Termination Comments	Insert	New Registration			1/13/2025 12:25 PM
Terminations	Termination Date	Insert	New Registration			1/13/2025 12:25 PM
Terminations	Termination Effective Date	Insert	New Registration			1/13/2025 12:25 PM
Terminations	Termination Reason	Insert	New Registration			1/13/2025 12:25 PM

340B Drug Pricing Program Database