Covered Entity Details

CH07747A RURAL ALLIANCE FOR BETTER FAMILY HEALTH (Active) - information as of 5/13/2025 10:57:19 PM

Main Details

Name

RURAL ALLIANCE FOR BETTER FAMILY HEALTH

Subdivision Name

DBA SOUTHERN MISSOURI COMMUNITY HEALTH CENTER THAYER

Type

HRSA-Funded Health Center

Site ID

BPS-H80-007540

340B ID

CH07747A

Grant Number

H80CS00301

Additional Details

Current Program Status

Active

Registration Date

10/1/2003

Participating Start Date

10/1/2003

Participating Approval Date

8/11/2003

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

Rural Alliance for Better Family Health
Bryan Adcock, CEO
(417) 255-8464

Primary Contact

Rural Alliance for Better Family Health
Angela Gargus, CFO
(417) 255-8464 Ext: 1401

Addresses

Street Address

9394 US 63
THAYER, MO 65791

Billing Address

RURAL ALLIANCE FOR BETTER FAMILY HEALTH
1137 INDEPENDENCE DRIVE
WEST PLAINS, MO 65775

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

SOUTHERN MISSOURI COMMUNITY HEALTH CENTER
1137 INDEPENDENCE DRIVE
WEST PLAINS, MO 65775

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
CH077470	Active	BPS-H80-000705	RURAL ALLIANCE FOR BETTER FAMILY HEALTH, THE	Southern Missouri Community Health Center West Plains Clinic	1137 Independence Dr	West Plains	MO
CH07747A	Active	BPS-H80-007540	RURAL ALLIANCE FOR BETTER FAMILY HEALTH	DBA SOUTHERN MISSOURI COMMUNITY HEALTH CENTER THAYER	9394 US 63	THAYER	MO
CH07747B	Terminated	BPS-H80-030010	Rural Alliance for Better Family Health, The	Thayer High School Based Health Center	401 E Walnut St	Thayer	MO
CH07747C	Active	BPS-H80-030009	Rural Alliance for Better Family Health, The	Thayer Elementary School Based Health Center	365 E Walnut St	Thayer	MO
CH07747D	Active	BPS-H80-018915	Rural Alliance for Better Family Health, The	SMCHC Support Site: 1113-1119 Independence Drive	1113 through 1119 Independence Drive	West Plains	MO

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH077470	SUPER D DRUGS ACQUISITION CO.	D/B/A FERGUSON DRUGS # 15803	POWERED BY WALGREENS 101 EAST MAIN STREET	WILLOW SPRINGS	MO	65793-1413	04/01/2016	04/04/2023
CH077470	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2017
CH077470	WAL-MART PHARMACY 10-0015	1310 PREACHER ROE BLVD		WEST PLAINS	MO	65775	10/01/2016
CH077470	WAL-MART PHARMACY 10-0837	333 E WALNUT		THAYER	MO	65791	10/01/2016
CH077470	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2017
CH077470	WALGREEN CO	DBA: WALGREENS #11288	1010 WORLEY DRIVE	WEST PLAINS	MO	65775	10/01/2014	06/11/2023
CH077470	WALGREEN CO.	DBA: WALGREENS #15054	124 W 2ND ST	MOUNTAIN VIEW	MO	65548	10/01/2014	06/11/2023
CH077470	Walgreens Central Fill #21394	2601 Hughes Road	Suite 103	Liberty	MO	64068	04/01/2023	06/11/2023
CH077470	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	10/01/2014	07/21/2015
CH077470	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	10/01/2014	07/21/2015
CH077470	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/30/2024 11:38:34 AM	2/14/2025 11:34:26 AM	2/14/2025 11:34 AM
Details	Last Recertification Date	Update	Recertification	1/30/2023 10:35:55 AM	1/30/2024 11:38:34 AM	1/30/2024 11:38 AM
Details	Last Recertification Date	Update	Recertification	1/31/2022 10:35:09 AM	1/30/2023 10:35:55 AM	1/30/2023 10:35 AM
Details	Last Recertification Date	Update	Recertification	2/8/2021 9:13:58 AM	1/31/2022 10:35:09 AM	1/31/2022 10:35 AM
Addresses	Main Address	Update	Change Request	RURAL ROUTE 3 BOX 3707 THAYER, MO 65791	9394 US 63 THAYER, MO 65791	10/13/2021 9:33 AM
Details	Last Recertification Date	Update	Recertification	2/12/2020 2:47:32 PM	2/8/2021 9:13:58 AM	2/8/2021 9:13 AM
Details	Last Recertification Date	Update	Recertification	2/13/2019 4:47:49 PM	2/12/2020 2:47:32 PM	2/12/2020 2:47 PM
Contacts	Authorizing Official	Update	AO Change Request	RICHARDS, PAT CEO Rural Alliance for Better Family Health 4172558464	Adcock, Bryan CEO Rural Alliance for Better Family Health 4172558464	1/30/2020 7:56 AM
Details	Last Recertification Date	Update	Recertification	2/15/2018 2:44:40 PM	2/13/2019 4:47:49 PM	2/13/2019 4:47 PM
Contacts	Primary Contact	Update	Recertification	RICHARDS, PAT CEO Rural Alliance for Better Family Health 4172558464	Gargus, Angela CFO Rural Alliance for Better Family Health 4172558464-1401	2/15/2018 2:44 PM
Details	Last Recertification Date	Update	Recertification	2/1/2017 12:00:00 AM	2/15/2018 2:44:40 PM	2/15/2018 2:44 PM
Contacts	Authorizing Official	Update		RICHARDS, PAT CEO 4172558464	RICHARDS, PAT CEO Rural Alliance for Better Family Health 4172558464	2/15/2018 2:35 PM
Contacts	Primary Contact	Update		RICHARDS, PAT CEO 4172558464	RICHARDS, PAT CEO Rural Alliance for Better Family Health 4172558464	2/15/2018 2:35 PM
Addresses	Main Address	Insert			RURAL ROUTE 3 BOX 3707 THAYER, MO 65791	2/1/2017 3:27 PM
Contacts	Authorizing Official	Insert			RICHARDS, PAT CEO 4172558464	2/1/2017 3:27 PM
Contacts	Primary Contact	Insert			RICHARDS, PAT CEO 4172558464	2/1/2017 3:27 PM
Details	Last Recertification Date	Update		2/12/2016 12:00:00 AM	2/1/2017 12:00:00 AM	2/1/2017 3:27 PM
Details	Last Recertification Date	Update		1/28/2015 12:00:00 AM	2/12/2016 12:00:00 AM	2/12/2016 9:34 AM
Details	Last Recertification Date	Update		3/13/2014 12:00:00 AM	1/28/2015 12:00:00 AM	1/28/2015 2:54 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/13/2014 12:00:00 AM	3/13/2014 8:32 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/28/2013 10:01 AM
Addresses	Billing Address	Insert			RURAL ALLIANCE FOR BETTER FAMILY HEALTH 1137 INDEPENDENCE DRIVE WEST PLAINS, MO 65775	1/14/2013 6:57 AM
Addresses	Shipping Address	Insert			SOUTHERN MISSOURI COMMUNITY HEALTH CENTER 1137 INDEPENDENCE DRIVE WEST PLAINS, MO 65775	1/14/2013 6:57 AM
Details	Entity Subname	Update		DBA OREGON COUNTY COMMUNITY HEALTH CENTER	DBA SOUTHERN MISSOURI COMMUNITY HEALTH CENTER THAYER	1/14/2013 6:57 AM
Details	Last Recertification Date	Insert				9/11/2006 2:36 PM
Details	Grant Number	Insert			H80CS00301	9/11/2006 2:36 PM
Details	340B ID	Insert			CH07747A	9/11/2006 2:36 PM
Details	Is Authorizing Official EHB Data	Insert				9/11/2006 2:36 PM
Dates	Last Date That 340B Drugs Purchased	Insert				9/11/2006 2:36 PM
Details	Medicare Provider Number	Insert				9/11/2006 2:36 PM
Details	Entity Name	Insert			RURAL ALLIANCE FOR BETTER FAMILY HEALTH	9/11/2006 2:36 PM
Details	Program Code	Insert			CH	9/11/2006 2:36 PM
Details	Entity Subname	Insert			DBA OREGON COUNTY COMMUNITY HEALTH CENTER	9/11/2006 2:36 PM
Dates	Participating Approval Date	Insert			8/11/2003 12:00:00 AM	9/11/2006 2:36 PM
Details	State	Insert			Active	9/11/2006 2:36 PM
Dates	Registration Date	Insert			10/1/2003 12:00:00 AM	9/11/2006 2:36 PM
Dates	Signed By Date	Insert				9/11/2006 2:36 PM
Dates	Start Date	Insert			10/1/2003 12:00:00 AM	9/11/2006 2:36 PM
Terminations	Termination Comments	Insert				9/11/2006 2:36 PM
Terminations	Termination Date	Insert				9/11/2006 2:36 PM
Terminations	Termination Effective Date	Insert				9/11/2006 2:36 PM
Terminations	Termination Reason	Insert				9/11/2006 2:36 PM

340B Drug Pricing Program Database