Covered Entity Details

CH0614350 COMMUNITY ACTION CORPORATION OF SOUTH TEXAS (Active) - information as of 6/27/2025 12:25:42 AM

Main Details

Name

COMMUNITY ACTION CORPORATION OF SOUTH TEXAS

Subdivision Name

COMMUNITY ACTION CORPORATION OF SOUTH TEXAS

Type

HRSA-Funded Health Center

Site ID

BPS-H80-002587

340B ID

CH0614350

Grant Number

H80CS02323

Additional Details

Current Program Status

Active

Registration Date

4/1/2004

Participating Start Date

4/1/2004

Participating Approval Date

2/25/2004

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

Community Action Corporation of South Texas
Ann Awalt, CEO
(361) 664-0145 Ext: 2024

Primary Contact

Community Action Corporation of South Texas
Sarah Michelle Soliz, Quality and Compliance Officer
(361) 664-1417 Ext: 2002

Addresses

Street Address

204 E 1st St
Alice, TX 78332-4822

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
NEW SITE 04/01/2004	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	Termination Date	Last Updated On
Contract Detail	APPLE PHARMACY #15	DMHC LLC	512 VICTORIA LN STE 10B	HARLINGEN	TX	78550	04/14/2022	07/01/2022	12/31/2022	01/18/2023
Contract Detail	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/13/2022	10/01/2022		10/01/2022
Contract Detail	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/13/2022	10/01/2022		10/01/2022
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07220	1627 WILDCAT DR	PORTLAND	TX	78374	10/06/2021	01/01/2022		01/01/2022
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 10840	213 EAST SAN PATRICIO AVE.	MATHIS	TX	78368	10/06/2021	01/01/2022		01/01/2022
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07766	215 N TEXAS BLVD	ALICE	TX	78332	10/06/2021	01/01/2022	04/15/2025	06/25/2025
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00656	1000 E KING AVE	KINGSVILLE	TX	78363	10/06/2021	01/01/2022		01/01/2022
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07401	4101 IH 69 ACCESS ROAD SUITE C	CORPUS CHRISTI	TX	78410	04/11/2023	07/01/2023		07/01/2023
Contract Detail	FRED'S PHARMACY	202 W RICE ST	PO BOX 340	FALFURRIAS	TX	78355-3704	04/14/2017	07/01/2017	04/14/2022	04/19/2022
Contract Detail	H-E-B, LP	H-E-B PHARMACY WAREHOUSE	6520 FRATT RD	SAN ANTONIO	TX	78218	07/03/2018	10/01/2018	07/11/2023	07/12/2023
Contract Detail	HEB PHARMACY #200	800 S. SAINT MARYS ST.		FALFURRIAS	TX	78355	07/03/2018	10/01/2018		10/01/2018
Contract Detail	HEB PHARMACY #223	1115 E. MAIN STREET		ALICE	TX	78332	07/03/2018	10/01/2018		10/01/2018
Contract Detail	HEB PHARMACY #401	409 E. KLEBERG		KINGSVILLE	TX	78363	10/10/2024	01/01/2025		01/01/2025
Contract Detail	HEB PHARMACY #412	100 E. HOUSTON ST		BEEVILLE	TX	78102	07/03/2018	10/01/2018		10/01/2018
Contract Detail	HEB PHARMACY WAREHOUSE 208	H-E-B, LP	5311 DIETRICH RD STE 100	SAN ANTONIO	TX	78219	07/12/2023	07/24/2023		07/25/2023
Contract Detail	HEB SPECIALTY PHARMACY #701	3503 FREDERICKSBURG RD	STE 450	SAN ANTONIO	TX	78201	10/07/2022	01/01/2023		01/01/2023
Contract Detail	MATHIS CARE PHARMACY	SAI CARE INC	217 S HWY 359	MATHIS	TX	78368	01/24/2017	04/01/2017	10/12/2022	10/28/2022
Contract Detail	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	10/02/2024	01/01/2025	04/18/2025	06/13/2025
Contract Detail	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	04/14/2022	07/01/2022	04/18/2025	06/13/2025
Contract Detail	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	04/14/2022	07/01/2022	04/18/2025	06/13/2025
Contract Detail	OPTUMRX	2858 LOKER AVE E STE 100		CARLSBAD	CA	92010-6608	04/14/2022	07/01/2022	05/27/2022	05/27/2022
Contract Detail	SAN DIEGO PHARMACY	RISING STAR HOLDINGS LLC	508 E GRAVIS ST	SAN DIEGO	TX	78384	10/06/2021	01/01/2022		01/01/2022
Contract Detail	TLC PHARMACY & MEDICAL EQUIPMENT	VELMOR INC	200 S HILLSIDE DR	BEEVILLE	TX	78102-5439	10/16/2023	01/01/2024		01/01/2024
Contract Detail	TORRES FAMILY PHARMACY OF FALFURRIAS	1118 S. HIGHWAY 281 BUSINESS		FALFURRIAS	TX	78355	04/14/2020	07/01/2020	01/01/2022	04/19/2022
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/12/2017	10/01/2017		10/01/2017
Contract Detail	WAL-MART PHARMACY 10-0442	1133 E. GENERAL CAVAZOS BLVD		KINGSVILLE	TX	78363	04/12/2017	07/01/2017		04/12/2017
Contract Detail	WAL-MART PHARMACY 10-0463	502 EAST FM 351		BEEVILLE	TX	78102	04/12/2017	07/01/2017		04/12/2017
Contract Detail	WAL-MART PHARMACY 10-0464	3829 U.S. HWY. 77		CORPUS CHRISTI	TX	78410	04/12/2017	07/01/2017		04/12/2017
Contract Detail	WAL-MART PHARMACY 10-0470	1821 S. PADRE ISLAND DR		CORPUS CHRISTI (NW)	TX	78416	04/12/2017	07/01/2017	01/01/2019	09/03/2021
Contract Detail	WAL-MART PHARMACY 10-0791	2701 E. MAIN		ALICE	TX	78332	04/12/2017	07/01/2017		04/12/2017
Contract Detail	WAL-MART PHARMACY 10-5460	2000 US HIGHWAY 181		PORTLAND	TX	78374	04/12/2017	07/01/2017	01/01/2019	09/03/2021
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/12/2017	10/01/2017		10/01/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03917	922 E KING AVE	KINGSVILLE	TX	78363	01/03/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10689	300 E HOUSTON ST	BEEVILLE	TX	78102-4822	01/03/2019	04/01/2019		04/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10231	1055 E MAIN ST	ALICE	TX	78332-5044	01/03/2019	04/01/2019		04/01/2019
Contract Detail	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	04/11/2023	07/01/2023		07/01/2023
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/18/2023	04/01/2023		04/01/2023
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/16/2023	01/01/2024		01/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH0614350	Active	BPS-H80-002587	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	204 E 1st St	Alice	TX
CH061435A	Active	BPS-H80-003518	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	Community Action Health Center	700 N. FLOURNOY ROADSTE 2A	ALICE	TX
CH061435AA	Active	BPS-H80-034311	Community Action Corporation Of South Texas	Community Action Pediatric Center Sinton	1133 E Sinton St	Sinton	TX
CH061435AB	Approved	BPS-H80-038600	Community Action Corporation Of South Texas	Javelina Health Clinic	1210 N. Retama	Kingsville	TX
CH061435AC	Approved	BPS-H80-036236	Community Action Corporation Of South Texas	Community Action Health Center Mobile Clinic #2	1311 E. General Cavazos Blvd. STE 303	Kingsville	TX
CH061435B	Active	BPS-H80-002131	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	Community Action Health Center Sinton	621 E Sinton St	Sinton	TX
CH061435C	Terminated	BPS-H80-006667	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	MOBILE CLINIC	1010 BEAM STATION ROAD	ALICE	TX
CH061435F	Active	BPS-H80-008217	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	Community Action Health Center Duval	115 W. Main	Benavides	TX
CH061435G	Active	BPS-H80-027922	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	Community Action Health Center Beeville	301 S. Hillside Dr. STE 5	Beeville	TX
CH061435H	Active	BPS-H80-027840	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	Community Action Health Center Kingsville	1311 E. General Cavazos Blvd. Suite 303	Kingsville	TX
CH061435J	Active	BPS-H80-027926	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	Community Action Health Center Falfurrias	1302 S St Marys St	Falfurrias	TX
CH061435K	Active	BPS-H80-027925	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	Community Action School Based Health Center Mathis	213 S. Duval St.	Mathis	TX
CH061435L	Terminated	BPS-H80-027925	Community Action Corporation Of South Texas	Community Action School Based Health Center Mathis	213 S. Duval St	Mathis	TX
CH061435M	Terminated	BPS-H80-027922	Community Action Corporation Of South Texas	Community Action Health Center Beeville	301 S. Hillside Dr. STE 5	Beeville	TX
CH061435N	Active	BPS-H80-027923	Community Action Corporation Of South Texas	Community Action Health Center Falfurrias	1302 S. St. Marys St. STE D	Falfurrias	TX
CH061435P	Terminated	BPS-H80-027926	Community Action Corporation Of South Texas	Community Action Health Center Falfurrias	1302 S. St. Marys St. STE A&B	Falfurrias	TX
CH061435Q	Active	BPS-H80-027924	Community Action Corporation Of South Texas	Community Action Health Center Beeville	301 S. Hillside Dr. STE 15	Beeville	TX
CH061435R	Terminated	BPS-H80-027840	Community Action Corporation Of South Texas	Community Action Health Center Kingsville	1311 E. General Cavazos Blvd. Suite 303	Kingsville	TX
CH061435S	Active	BPS-H80-027920	Community Action Corporation Of South Texas	Community Action Dental Center Kingsville	1311 E. General Cavazos STE C- Dental	Kingsville	TX
CH061435T	Active	BPS-H80-024651	Community Action Corporation Of South Texas	Community Action Health Center Mobile Clinic	700 N. FLOURNOY ROADSTE 2A	ALICE	TX
CH061435U	Active	BPS-H80-027921	Community Action Corporation Of South Texas	Community Action Health Center Beeville	301 S. Hillside Dr. STE 6	Beeville	TX
CH061435V	Active	BPS-H80-027738	Community Action Corporation Of South Texas	Community Action Health Center Beeville	301 S. Hillside Dr. STE 8	Beeville	TX
CH061435W	Active	BPS-H80-031763	Community Action Corporation Of South Texas	Community Action Health Center	700 N. Flournoy Rd Ste 2A-Administrative	ALICE	TX
CH061435Y	Active	BPS-H80-031809	Community Action Corporation Of South Texas	Community Action Health Center	700 N. Flournoy Rd. STE 2A-Medical	ALICE	TX
CH061435Z	Active	BPS-H80-032340	Community Action Corporation Of South Texas	Community Action Health Center	700 N. Flournoy Rd. Ste 2A-Call Center	Alice	TX

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH0614350	APPLE PHARMACY #15	DMHC LLC	512 VICTORIA LN STE 10B	HARLINGEN	TX	78550	07/01/2022	12/31/2022
CH0614350	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2022
CH0614350	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2022
CH0614350	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07220	1627 WILDCAT DR	PORTLAND	TX	78374	01/01/2022
CH0614350	CVS PHARMACY, INC.	DBA CVS/PHARMACY # 10840	213 EAST SAN PATRICIO AVE.	MATHIS	TX	78368	01/01/2022
CH0614350	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07766	215 N TEXAS BLVD	ALICE	TX	78332	01/01/2022	04/15/2025
CH0614350	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00656	1000 E KING AVE	KINGSVILLE	TX	78363	01/01/2022
CH0614350	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07401	4101 IH 69 ACCESS ROAD SUITE C	CORPUS CHRISTI	TX	78410	07/01/2023
CH0614350	FRED'S PHARMACY	202 W RICE ST	PO BOX 340	FALFURRIAS	TX	78355-3704	07/01/2017	04/14/2022
CH0614350	H-E-B, LP	H-E-B PHARMACY WAREHOUSE	6520 FRATT RD	SAN ANTONIO	TX	78218	10/01/2018	07/11/2023
CH0614350	HEB PHARMACY #200	800 S. SAINT MARYS ST.		FALFURRIAS	TX	78355	10/01/2018
CH0614350	HEB PHARMACY #223	1115 E. MAIN STREET		ALICE	TX	78332	10/01/2018
CH0614350	HEB PHARMACY #401	409 E. KLEBERG		KINGSVILLE	TX	78363	01/01/2025
CH0614350	HEB PHARMACY #412	100 E. HOUSTON ST		BEEVILLE	TX	78102	10/01/2018
CH0614350	HEB PHARMACY WAREHOUSE 208	H-E-B, LP	5311 DIETRICH RD STE 100	SAN ANTONIO	TX	78219	07/24/2023
CH0614350	HEB SPECIALTY PHARMACY #701	3503 FREDERICKSBURG RD	STE 450	SAN ANTONIO	TX	78201	01/01/2023
CH0614350	MATHIS CARE PHARMACY	SAI CARE INC	217 S HWY 359	MATHIS	TX	78368	04/01/2017	10/12/2022
CH061435B	MOORE'S PHARMACY	200 S. RACHAL ST.		SINTON	TX	78387	09/09/2009	12/31/2016
CH0614350	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	01/01/2025	04/18/2025
CH0614350	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	07/01/2022	04/18/2025
CH0614350	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	07/01/2022	04/18/2025
CH0614350	OPTUMRX	2858 LOKER AVE E STE 100		CARLSBAD	CA	92010-6608	07/01/2022	05/27/2022
CH0614350	SAN DIEGO PHARMACY	RISING STAR HOLDINGS LLC	508 E GRAVIS ST	SAN DIEGO	TX	78384	01/01/2022
CH0614350	TLC PHARMACY & MEDICAL EQUIPMENT	VELMOR INC	200 S HILLSIDE DR	BEEVILLE	TX	78102-5439	01/01/2024
CH0614350	TORRES FAMILY PHARMACY OF FALFURRIAS	1118 S. HIGHWAY 281 BUSINESS		FALFURRIAS	TX	78355	07/01/2020	01/01/2022
CH0614350	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH0614350	WAL-MART PHARMACY 10-0442	1133 E. GENERAL CAVAZOS BLVD		KINGSVILLE	TX	78363	07/01/2017
CH0614350	WAL-MART PHARMACY 10-0463	502 EAST FM 351		BEEVILLE	TX	78102	07/01/2017
CH0614350	WAL-MART PHARMACY 10-0464	3829 U.S. HWY. 77		CORPUS CHRISTI	TX	78410	07/01/2017
CH0614350	WAL-MART PHARMACY 10-0470	1821 S. PADRE ISLAND DR		CORPUS CHRISTI (NW)	TX	78416	07/01/2017	01/01/2019
CH0614350	WAL-MART PHARMACY 10-0791	2701 E. MAIN		ALICE	TX	78332	07/01/2017
CH0614350	WAL-MART PHARMACY 10-5460	2000 US HIGHWAY 181		PORTLAND	TX	78374	07/01/2017	01/01/2019
CH0614350	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH0614350	WALGREEN CO.	DBA: WALGREENS # 03917	922 E KING AVE	KINGSVILLE	TX	78363	04/01/2019
CH0614350	WALGREEN CO.	DBA: WALGREENS # 10689	300 E HOUSTON ST	BEEVILLE	TX	78102-4822	04/01/2019
CH0614350	WALGREEN CO.	DBA: WALGREENS # 10231	1055 E MAIN ST	ALICE	TX	78332-5044	04/01/2019
CH0614350	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	07/01/2023
CH0614350	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH0614350	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/1/2024 4:57:21 PM	2/14/2025 4:57:05 PM	2/14/2025 4:57 PM
Details	Last Recertification Date	Update	Recertification	2/7/2023 2:46:43 PM	2/1/2024 4:57:21 PM	2/1/2024 4:57 PM
Details	Last Recertification Date	Update	Recertification	2/1/2022 2:35:17 PM	2/7/2023 2:46:43 PM	2/7/2023 2:46 PM
Details	Last Recertification Date	Update	Recertification	2/8/2021 10:19:05 AM	2/1/2022 2:35:17 PM	2/1/2022 2:35 PM
Contacts	Primary Contact	Update	Profile Change Request	Soliz, Sarah Michelle Quality and Compliance Officer Community Action Corporation of South Texas 3612278887-2002	Soliz, Sarah Michelle Quality and Compliance Officer Community Action Corporation of South Texas 3616641417-2002	1/31/2022 2:12 PM
Details	Last Recertification Date	Update	Recertification	2/4/2020 10:17:51 AM	2/8/2021 10:19:05 AM	2/8/2021 10:19 AM
Contacts	Primary Contact	Update	Change Request	Luna, Rosaura R Compliance Officer Community Action Corporation of South Texas 3616641417-2110	Soliz, Sarah Michelle Quality and Compliance Officer Community Action Corporation of South Texas 3612278887-2002	10/28/2020 7:25 AM
Details	Last Recertification Date	Update	Recertification	1/30/2019 11:28:41 AM	2/4/2020 10:17:51 AM	2/4/2020 10:17 AM
Details	Last Recertification Date	Update	Recertification	2/7/2018 12:47:39 PM	1/30/2019 11:28:41 AM	1/30/2019 11:28 AM
Details	Last Recertification Date	Update	Recertification	1/25/2017 12:00:00 AM	2/7/2018 12:47:39 PM	2/7/2018 12:47 PM
Contacts	Primary Contact	Update	Change Request	Alivar, Elizabeth Director of Clinical Services 3616640145-2002	Luna, Rosaura R Compliance Officer Community Action Corporation of South Texas 3616641417-2110	1/30/2018 11:40 AM
Contacts	Authorizing Official	Update		Awalt, Ann CEO 3616640145-2024	Awalt, Ann CEO Community Action Corporation of South Texas 3616640145-2024	1/24/2018 1:56 PM
Contacts	Authorizing Official	Insert			Awalt, Ann CEO 3616640145-2024	7/12/2017 4:18 PM
Addresses	Main Address	Insert			204 E 1st St Alice, TX 78332-4822	1/25/2017 8:52 PM
Contacts	Primary Contact	Insert			Alivar, Elizabeth Director of Clinical Services 3616640145-2002	1/25/2017 8:52 PM
Details	Last Recertification Date	Update		2/26/2016 12:00:00 AM	1/25/2017 12:00:00 AM	1/25/2017 8:52 PM
Details	Last Recertification Date	Update		3/4/2015 12:00:00 AM	2/26/2016 12:00:00 AM	2/26/2016 12:05 PM
Details	Last Recertification Date	Update		3/20/2014 12:00:00 AM	3/4/2015 12:00:00 AM	3/4/2015 12:43 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/20/2014 12:00:00 AM	3/20/2014 1:25 PM
Details	Entity Name	Update		COMMUNITY ACTION CORP. OF SOUTH TEXAS	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	3/20/2014 1:25 PM
Details	Entity Subname	Update		ADMINISTRATIVE OFFICE	COMMUNITY ACTION CORPORATION OF SOUTH TEXAS	3/20/2014 1:25 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/21/2013 2:47 PM
Details	Last Recertification Date	Insert				8/12/2005 8:33 AM
Details	Grant Number	Insert			H80CS02323	8/12/2005 8:33 AM
Details	340B ID	Insert			CH0614350	8/12/2005 8:33 AM
Details	Is Authorizing Official EHB Data	Insert				8/12/2005 8:33 AM
Dates	Last Date That 340B Drugs Purchased	Insert				8/12/2005 8:33 AM
Details	Medicare Provider Number	Insert				8/12/2005 8:33 AM
Details	Entity Name	Insert			COMMUNITY ACTION CORP. OF SOUTH TEXAS	8/12/2005 8:33 AM
Details	Program Code	Insert			CH	8/12/2005 8:33 AM
Details	Entity Subname	Insert			ADMINISTRATIVE OFFICE	8/12/2005 8:33 AM
Dates	Participating Approval Date	Insert			2/25/2004 12:00:00 AM	8/12/2005 8:33 AM
Details	State	Insert			Active	8/12/2005 8:33 AM
Dates	Registration Date	Insert			4/1/2004 12:00:00 AM	8/12/2005 8:33 AM
Dates	Signed By Date	Insert				8/12/2005 8:33 AM
Dates	Start Date	Insert			4/1/2004 12:00:00 AM	8/12/2005 8:33 AM
Terminations	Termination Comments	Insert				8/12/2005 8:33 AM
Terminations	Termination Date	Insert				8/12/2005 8:33 AM
Terminations	Termination Effective Date	Insert				8/12/2005 8:33 AM
Terminations	Termination Reason	Insert				8/12/2005 8:33 AM
Details	Comments Public	Insert			NEW SITE 04/01/2004	8/12/2005 8:33 AM

340B Drug Pricing Program Database