Covered Entity Details

CH01511A HEALTH ACCESS NETWORK (Active) - information as of 5/19/2025 11:35:47 PM

Main Details

Name

HEALTH ACCESS NETWORK

Subdivision Name

HAN Enfield

Type

HRSA-Funded Health Center

Site ID

BPS-H80-003161

340B ID

CH01511A

Grant Number

H80CS02450

Additional Details

Current Program Status

Active

Registration Date

9/15/2006

Participating Start Date

10/1/2006

Participating Approval Date

9/15/2006

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

Health Access Network
Wanda T Kimball, Chief Financial Officer
(207) 403-7516

Primary Contact

Health Access Network
Christopher Muffett, Chief Data & Communications Officer
(207) 794-6700 Ext: 7506

Addresses

Street Address

47 BRIDGE STREET, Rte 155
WEST ENFIELD, ME 04493

Billing Address

HEALTH ACCESS NETWORK
PO BOX 99
LINCOLN, ME 04457

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
8/6/10 UPDATED SUBDIV NAME (WAS COLD STREAM HEALTHCARE)	08/06/2010

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
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH015110	Active	BPS-H80-008928	HEALTH ACCESS NETWORK	Health Access Network Lincoln	175 WEST BROADWAY	LINCOLN	ME
CH01511A	Active	BPS-H80-003161	HEALTH ACCESS NETWORK	HAN Enfield	47 BRIDGE STREET, Rte 155	WEST ENFIELD	ME
CH01511I	Terminated	BPS-H80-018566	HEALTH ACCESS NETWORK, INC.	HAN MILLINOCKET SITE	24 Balsam Drive	MILLINOCKET	ME
CH01511L	Active	BPS-H80-000702	HEALTH ACCESS NETWORK, INC.	HAN MEDWAY	1930 MEDWAY RD	MEDWAY	ME
CH01511Q	Active	BPS-H80-011735	HEALTH ACCESS NETWORK, INC.	HAN Lee School Based Community Health Center	Winn Road	Lee	ME
CH01511R	Active	BPS-H80-003390	Health Access Network, Inc.	HAN FAMILY DENTAL	9 Main St	Lincoln	ME

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH015110	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	04/01/2015	09/14/2016
CH01511L	DAVIS PHARMACY	59 MAIN STREET		EAST MILLINOCKET	ME	04430	07/01/2005	01/12/2018
CH015110	HANNAFORD BROS. CO., LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #81	843 CENTRAL STREET	MILLINOCKET	ME	04462-2125	01/01/2021	11/15/2024
CH015110	HANNAFORD BROS. CO., LLC	DBA HANNAFORD SUPERMARKET & PHARMACY #81	22 GODING AVE	LINCOLN	ME	04457	01/01/2021	11/15/2024
CH015110	MANIFEST PHARMACY, LLC	1018 S BATESVILLE RD	STE 4A	GREER	SC	29650-5203	10/01/2013	09/14/2016
CH015110	RITE AID OF MAINE, INC.	RITE AID #4178	2 WEST BROADWAY	LINCOLN	ME	04457	08/01/2004	02/05/2018
CH015110	RITE AID OF MAINE, INC.	RITE AID #4273	720 CENTRAL STREET	MILLINOCKET	ME	04462	04/01/2014	02/05/2018
CH015110	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2017
CH015110	WAL-MART PHARMACY 10-1919	250 WEST BROADWAY		LINCOLN	ME	04457	04/20/2012
CH015110	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2017
CH015110	WALGREEN EASTERN CO., INC.	WALGREENS #17147	2 W BROADWAY	LINCOLN	ME	04457-1247	02/05/2018
CH015110	WALGREEN EASTERN CO., INC.	WALGREENS #18307	720 CENTRAL ST	MILLINOCKET	ME	04462	02/05/2018	11/10/2020
CH015110	WALGREEN EASTERN CO., INC.	WALGREENS #19253	35 PARK ST	MILO	ME	04463-1152	04/01/2019
CH015110	WALGREEN EASTERN CO., INC.	WALGREENS #18000	302 MAIN ST	OLD TOWN	ME	04468	07/01/2019
CH015110	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	10/01/2023
CH015110	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH015110	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	2/21/2024 9:54:12 AM	2/14/2025 12:16:21 PM	2/14/2025 12:16 PM
Addresses	Main Address	Update	Change Request	47 BRIDGE STREET WEST ENFIELD, ME 04493	47 BRIDGE STREET, Rte 155 WEST ENFIELD, ME 04493	5/30/2024 7:49 AM
Details	Entity Subname	Update	Change Request	HEALTH ACCESS NETWORK-WEST ENFIELD	HAN Enfield	5/30/2024 7:49 AM
Details	Last Recertification Date	Update	Recertification	2/3/2023 8:24:51 AM	2/21/2024 9:54:12 AM	2/21/2024 9:54 AM
Details	Last Recertification Date	Update	Recertification	1/31/2022 7:47:56 AM	2/3/2023 8:24:51 AM	2/3/2023 8:24 AM
Contacts	Primary Contact	Update	Change Request	Glidden, Carrie EMR Manager/HIPAA Security Officer Health Access Network 2074037525	Muffett, Christopher Chief Data & Communications Officer Health Access Network 2077946700-7506	5/24/2022 7:52 AM
Details	Last Recertification Date	Update	Recertification	2/3/2021 7:54:17 AM	1/31/2022 7:47:56 AM	1/31/2022 7:47 AM
Contacts	Authorizing Official	Update	Profile Change Request	Kimball, Wanda T Staff Accountant Health Access Network 2074037516	Kimball, Wanda T Chief Financial Officer Health Access Network 2074037516	1/26/2022 1:44 PM
Details	Last Recertification Date	Update	Recertification	1/29/2020 1:44:51 PM	2/3/2021 7:54:17 AM	2/3/2021 7:54 AM
Contacts	Authorizing Official	Update	AO Change Request	Osborne, Mike CFO Health Access Network 2077946700-7510	Kimball, Wanda T Staff Accountant Health Access Network 2074037516	3/16/2020 1:02 PM
Details	Last Recertification Date	Update	Recertification	1/30/2019 1:45:45 PM	1/29/2020 1:44:51 PM	1/29/2020 1:44 PM
Details	Last Recertification Date	Update	Recertification	2/8/2018 3:05:26 PM	1/30/2019 1:45:45 PM	1/30/2019 1:45 PM
Details	Last Recertification Date	Update	Recertification	2/16/2017 12:00:00 AM	2/8/2018 3:05:26 PM	2/8/2018 3:05 PM
Contacts	Primary Contact	Update	Change Request	Osborne, Mike CFO Health Access Network 2077946700-7510	Glidden, Carrie EMR Manager/HIPAA Security Officer Health Access Network 2074037525	1/12/2018 2:26 PM
Contacts	Authorizing Official	Update		Osborne, Mike CFO 2077946700-7510	Osborne, Mike CFO Health Access Network 2077946700-7510	10/13/2017 10:27 AM
Contacts	Primary Contact	Update		Osborne, Mike CFO 2077946700-7510	Osborne, Mike CFO Health Access Network 2077946700-7510	10/13/2017 10:27 AM
Contacts	Authorizing Official	Update		Kirsch, Jeff CFO 2077946700	Osborne, Mike CFO 2077946700-7510	3/15/2017 10:49 AM
Contacts	Primary Contact	Update		Kirsch, Jeff CFO 2077946700	Osborne, Mike CFO 2077946700-7510	3/15/2017 10:49 AM
Addresses	Main Address	Insert			47 BRIDGE STREET WEST ENFIELD, ME 04493	2/16/2017 2:41 PM
Details	Last Recertification Date	Update		2/12/2016 12:00:00 AM	2/16/2017 12:00:00 AM	2/16/2017 2:41 PM
Addresses	Billing Address	Insert			HEALTH ACCESS NETWORK PO BOX 99 LINCOLN, ME 04457	1/11/2017 9:24 AM
Contacts	Authorizing Official	Insert			Kirsch, Jeff CFO 2077946700	9/15/2016 10:54 AM
Contacts	Primary Contact	Insert			Kirsch, Jeff CFO 2077946700	9/15/2016 10:54 AM
Details	Last Recertification Date	Update		1/28/2015 12:00:00 AM	2/12/2016 12:00:00 AM	2/12/2016 11:53 AM
Details	Last Recertification Date	Update		2/10/2014 12:00:00 AM	1/28/2015 12:00:00 AM	1/28/2015 9:38 AM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	2/10/2014 12:00:00 AM	2/10/2014 9:33 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/5/2013 10:11 AM
Details	Last Recertification Date	Insert				8/6/2010 7:12 PM
Details	Grant Number	Insert			H80CS02450	8/6/2010 7:12 PM
Details	340B ID	Insert			CH01511A	8/6/2010 7:12 PM
Details	Is Authorizing Official EHB Data	Insert				8/6/2010 7:12 PM
Dates	Last Date That 340B Drugs Purchased	Insert				8/6/2010 7:12 PM
Details	Medicare Provider Number	Insert				8/6/2010 7:12 PM
Details	Entity Name	Insert			HEALTH ACCESS NETWORK	8/6/2010 7:12 PM
Details	Program Code	Insert			CH	8/6/2010 7:12 PM
Details	Entity Subname	Insert			HEALTH ACCESS NETWORK-WEST ENFIELD	8/6/2010 7:12 PM
Dates	Participating Approval Date	Insert			9/15/2006 12:00:00 AM	8/6/2010 7:12 PM
Details	State	Insert			Active	8/6/2010 7:12 PM
Dates	Registration Date	Insert			9/15/2006 12:00:00 AM	8/6/2010 7:12 PM
Dates	Signed By Date	Insert			7/12/2006 12:00:00 AM	8/6/2010 7:12 PM
Dates	Start Date	Insert			10/1/2006 12:00:00 AM	8/6/2010 7:12 PM
Terminations	Termination Comments	Insert				8/6/2010 7:12 PM
Terminations	Termination Date	Insert				8/6/2010 7:12 PM
Terminations	Termination Effective Date	Insert				8/6/2010 7:12 PM
Terminations	Termination Reason	Insert				8/6/2010 7:12 PM
Details	Comments Public	Insert			8/6/10 UPDATED SUBDIV NAME (WAS COLD STREAM HEALTHCARE)	8/6/2010 7:12 PM

340B Drug Pricing Program Database