340B Drug Pricing Program Database


CH056770 COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC. (Active) - information as of 6/16/2025 6:07:04 AM

Main Details
COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.
COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)
HRSA-Funded Health Center
BPS-H80-003073
CH056770
H80CS00724


Additional Details
Active
10/1/1995
10/1/1995
12/1/2004
2/12/2025

Contacts

Community Health and Social Services Center
Felix Valbuena Jr., CEO
(313) 849-3920 Ext: 5016

Community Heath and Social Services Center
Richard Bryce, CMO
(313) 849-3920 Ext: 5016

Addresses

5635 W Fort St
Detroit, MI 48209-3154

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
12/1/04 UPDATED ENTITY NAME; 12/1/04 REMOVED MEDICAID #01/14/2010
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MI53010062071275617599
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailAHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271210/15/201801/01/2019  01/01/2019
Contract DetailDELIVERCARERX PHARMACY LLCDELIVERCARERX PHARMACY LLC 1471 E BUSINESS CENTER DR
STE 200 		MT PROSPECTIL6005601/10/201804/01/2018 10/15/201810/15/2018
Contract DetailPILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310101/10/201804/01/2018  01/10/2018
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH056770ActiveBPS-H80-003073COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)5635 W Fort St DetroitMI
CH05677BTerminatedBPS-H80-004518COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS) 7436 WOODWARD AVENUE DETROITMI
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH056770AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271201/01/2019  
CH056770DELIVERCARERX PHARMACY LLCDELIVERCARERX PHARMACY LLC 1471 E BUSINESS CENTER DR
STE 200 		MT PROSPECTIL6005604/01/2018 10/15/2018
CH056770PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310104/01/2018  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 11:21:46 AM2/12/2025 12:33:22 PM2/12/2025 12:33 PM
DetailsLast Recertification DateUpdateRecertification1/31/2023 10:56:54 AM1/29/2024 11:21:46 AM1/29/2024 11:21 AM
DetailsLast Recertification DateUpdateRecertification1/31/2022 2:48:59 AM1/31/2023 10:56:54 AM1/31/2023 10:56 AM
DetailsLast Recertification DateUpdateRecertification2/4/2021 10:56:05 AM1/31/2022 2:48:59 AM1/31/2022 2:48 AM
Medicaid BillingNPI: StateUpdateRecertification MI2/4/2021 10:56 AM
DetailsLast Recertification DateUpdateRecertification2/2/2020 10:58:17 AM2/4/2021 10:56:05 AM2/4/2021 10:56 AM
DetailsLast Recertification DateUpdateRecertification2/1/2019 12:10:17 AM2/2/2020 10:58:17 AM2/2/2020 10:58 AM
DetailsLast Recertification DateUpdateRecertification2/17/2018 6:55:29 AM2/1/2019 12:10:17 AM2/1/2019 12:10 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestValbuena Jr., Felix CEO CHASS Center 3138493920-5016Valbuena Jr., Felix CEO Community Health and Social Services Center 3138493920-50162/17/2018 7:17 AM
ContactsPrimary ContactUpdateRecertificationValbuena Jr., Felix CEO CHASS Center 3138493920-5016Bryce, Richard CMO Community Heath and Social Services Center 3138493920-50162/17/2018 6:55 AM
DetailsLast Recertification DateUpdateRecertification1/31/2017 12:00:00 AM2/17/2018 6:55:29 AM2/17/2018 6:55 AM
ContactsAuthorizing OfficialUpdate Valbuena Jr., Felix CEO 3138493920-5016Valbuena Jr., Felix CEO CHASS Center 3138493920-50161/10/2018 10:09 AM
ContactsPrimary ContactUpdate Valbuena Jr., Felix CEO 3138493920-5016Valbuena Jr., Felix CEO CHASS Center 3138493920-50161/10/2018 10:09 AM
AddressesMain AddressInsert   5635 W Fort St Detroit, MI 48209-31541/31/2017 2:34 PM
ContactsAuthorizing OfficialUpdate GUZMAN, RICARDO J. CEO 3138493920-5016Valbuena Jr., Felix CEO 3138493920-50161/31/2017 2:34 PM
ContactsPrimary ContactUpdate GUZMAN, RICARDO J. CEO 3138493920-5016Valbuena Jr., Felix CEO 3138493920-50161/31/2017 2:34 PM
DetailsLast Recertification DateUpdate 2/12/2016 12:00:00 AM1/31/2017 12:00:00 AM1/31/2017 2:34 PM
ContactsAuthorizing OfficialInsert  GUZMAN, RICARDO J. CEO 3138493920-50163/10/2016 9:17 AM
ContactsPrimary ContactInsert  GUZMAN, RICARDO J. CEO 3138493920-50163/10/2016 9:17 AM
DetailsLast Recertification DateUpdate 3/2/2015 12:00:00 AM2/12/2016 12:00:00 AM2/12/2016 1:58 PM
DetailsLast Recertification DateUpdate 3/17/2014 12:00:00 AM3/2/2015 12:00:00 AM3/2/2015 9:49 AM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/17/2014 12:00:00 AM3/17/2014 6:56 AM
DetailsEntity NameUpdate COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.3/17/2014 6:56 AM
DetailsEntity SubnameUpdate  COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)3/17/2014 6:56 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/28/2013 10:21 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False1/14/2013 7:05 AM
Medicaid BillingMedicaid: NumberInsert  53010062071/14/2013 7:05 AM
Medicaid BillingMedicaid: StateInsert  MI1/14/2013 7:05 AM
Medicaid BillingNPI: NumberInsert  12756175991/14/2013 7:05 AM
DetailsLast Recertification DateInsert   1/14/2010 1:23 PM
DetailsGrant NumberInsert  H80CS007241/14/2010 1:23 PM
Details340B IDInsert  CH0567701/14/2010 1:23 PM
DetailsIs Authorizing Official EHB DataInsert   1/14/2010 1:23 PM
DatesLast Date That 340B Drugs PurchasedInsert   1/14/2010 1:23 PM
DetailsMedicare Provider NumberInsert   1/14/2010 1:23 PM
DetailsEntity NameInsert  COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)1/14/2010 1:23 PM
DetailsProgram CodeInsert  CH1/14/2010 1:23 PM
DetailsEntity SubnameInsert   1/14/2010 1:23 PM
DatesParticipating Approval DateInsert  12/1/2004 12:00:00 AM1/14/2010 1:23 PM
DetailsStateInsert  Active1/14/2010 1:23 PM
DatesRegistration DateInsert  10/1/1995 12:00:00 AM1/14/2010 1:23 PM
DatesSigned By DateInsert   1/14/2010 1:23 PM
DatesStart DateInsert  10/1/1995 12:00:00 AM1/14/2010 1:23 PM
TerminationsTermination CommentsInsert   1/14/2010 1:23 PM
TerminationsTermination DateInsert   1/14/2010 1:23 PM
TerminationsTermination Effective DateInsert   1/14/2010 1:23 PM
TerminationsTermination ReasonInsert   1/14/2010 1:23 PM
DetailsComments PublicInsert  12/1/04 UPDATED ENTITY NAME; 12/1/04 REMOVED MEDICAID #1/14/2010 1:23 PM