340B Drug Pricing Program Database


CH10018I HEALTH WEST, INC. (Terminated) - information as of 6/27/2025 12:27:23 AM

Main Details
HEALTH WEST, INC.
MCCAMMON CLINIC
HRSA-Funded Health Center
BPS-H80-006054
CH10018I
H80CS00321


Additional Details
Terminated
8/31/2007
10/1/2007
9/6/2007
2/22/2016

4/1/2016
Site closure

Contacts

Health West, Inc.
Mindy Benedetti, CEO
(208) 232-7862 Ext: 1120

Health West Inc.
Nancy Wright, Director of Executive Services
(208) 232-7862 Ext: 1100

Addresses

204 CENTER STREET
MCCAMMON, ID 83250

HEALTH WEST, INC.
PO BOX 2377
POCATELLO, ID 83206


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH100180ActiveBPS-H80-013633HEALTH WEST INCHEALTH WEST - ADMINISTRATION OFFICES500 S 11th AVE POCATELLOID
CH10018AActiveBPS-H80-002414HEALTH WEST, INC.HEALTH WEST - AMERICAN FALLS CHC823 Reed St AMERICAN FALLSID
CH10018BActiveBPS-H80-006040HEALTH WEST, INC.HEALTH WEST - LAVA CHC85 S 5th W LAVA HOT SPRINGSID
CH10018CActiveBPS-H80-006616HEALTH WEST, INC.HEALTH WEST - DOWNEY CHC79 NORTH MAIN STREET DOWNEYID
CH10018DActiveBPS-H80-008818HEALTH WEST, INC.HEALTH WEST- ABERDEEN CHC330 N Main Street ABERDEENID
CH10018HActiveBPS-H80-014688HEALTH WEST INCHEALTH WEST- POCATELLO CHC1000 N 8th Ave POCATELLOID
CH10018ITerminatedBPS-H80-006054HEALTH WEST, INC.MCCAMMON CLINIC204 CENTER STREET MCCAMMONID
CH10018JActiveBPS-H80-011748HEALTH WEST, INC.HEALTH WEST - ISU CHC465 Memorial Dr PocatelloID
CH10018KActiveBPS-H80-013063HEALTH WEST INCHEALTH WEST - CHUBBUCK CHC880 W Quinn Rd ChubbuckID
CH10018LActiveBPS-H80-014898HEALTH WEST INCHEALTH WEST - PRESTON CHC655 S 4th E PRESTONID
CH10018MActiveBPS-H80-027241HEALTH WEST, INC.HEALTH WEST PEDIATRIC AND OB/GYN CHC500 S 11th Ave PocatelloID
CH10018NActiveBPS-H80-030583HEALTH WEST, INC.HEALTH WEST - CITY CENTER CHC1001 N 7th Ave PocatelloID
CH10018PActiveBPS-H80-038300HEALTH WEST, INCHealth West - Evanston CHC75 Yellow Creek Rd, Ste 102 EvanstonWY
CH10018QActiveBPS-H80-038299HEALTH WEST, INCHEALTH WEST - MONTPELIER CHC152 S 4th St MontpelierID
CH10018RActiveBPS-H80-038296HEALTH WEST, INCHealth West - Rock Springs CHC2620 Commercial Way Rock SpringsWY
CH10018SActiveBPS-H80-038295HEALTH WEST, INCHealth West - Brigham City CHC5 W 200 N Brigham CityUT
CH10018TActiveBPS-H80-038298HEALTH WEST, INCHealth West - Garden City CHC325 West Logan Highway Garden CityUT
CH10018UActiveBPS-H80-038297HEALTH WEST, INCHealth West - North Logan CHC1515 N 400 E STE 104 North LoganUT
CH10018VActiveBPS-H80-038294HEALTH WEST, INCHealth West - Providence CHC517 W 100 N STE 110 ProvidenceUT
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH100180ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280910/01/2024  
CH100180ALBERTSON'S LLCSAV-ON PHARMACY #3342 1323 DEWAR DRIVE
ROCK SPRINGSWY8290107/01/2024  
CH100180ALBERTSONS LLCSAV-ON PHARMACY #159 330 EAST BENTON ST
POCATELLOID83201-652610/01/2016  
CH100180ALLEN DRUG4 N MAIN ST
MALAD CITYID83252-491307/01/2014 07/26/2017
CH100180BENGAL PHARMACY990 SOUTH 8TH AVE
POCATELLOID83209-000104/01/2014 06/30/2021
CH100180BROULIM'S PHARMACY89 W 2ND S
SODA SPRINGSID83276-150904/01/2014 01/01/2018
CH100180CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/01/2024  
CH100180CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005610/01/2024  
CH100180CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/01/2024  
CH100180CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/01/2024  
CH100180CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/01/2024  
CH100180CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/01/2024  
CH100180CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/01/2024  
CH100180CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813310/01/2024  
CH100180CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237410/01/2024  
CH100180CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/01/2024  
CH100180CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2024  
CH100180CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2024  
CH100180CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502810/01/2024  
CH100180FRED MEYER800 YELLOWSTONE AVENUE
POCATELLOID83201-446104/01/2014  
CH100180HEALTHY OPTIONS INCDBA POSTAL PRESCRIPTION SVCS 3500 SE 26TH AVE
PO BOX 2718 		PORTLANDOR9720201/01/2020  
CH100180IDAHO STATE UNIVERSITYBENGAL PHARMACY POCATELLO 990 S 8TH AVE STOP 8158
POCATELLOID83209-815807/01/2021  
CH100180ISU BENGAL PHARMACY CHUBBUCK4914 YELLOWSTONE AVE STE A
CHUBBUCKID8320210/01/2024  
CH100180ISU BENGAL PHARMACY MCCAMMON208 CENTER ST
MCCAMMONID8325010/01/2024  
CH100180LARRY'S FAMILY PHARMACY217 SOUTH STATE
PRESTONID8326301/01/2016 01/01/2017
CH100180LARRY'S FAMILY PHARMACYLARRY'S FAMILY PHARMACY 217 S STATE ST
PRESTONID8326304/01/2017  
CH10018HMAAG PRESCRIPTION CENTER, LLC333 W CENTER ST PO BOX 115
POCATELLOID83204-324304/01/2004  
CH100180MAAG PRESCRIPTION CENTER, LLC333 W CENTER ST PO BOX 115
POCATELLOID83204-324304/01/2015 11/15/2022
CH10018IMAAG PRESCRIPTION CENTER, LLC333 W CENTER ST PO BOX 115
POCATELLOID83204-324305/06/2008 04/01/2016
CH100180MAAG PRESCRIPTION CENTER, LLC333 W CENTER ST PO BOX 115
POCATELLOID8320411/15/2022  
CH100180PRESTON DRUG39 NORTH 1ST EAST
PRESTONID8326304/01/2018 10/01/2023
CH100180PRESTON DRUG INC39 N 1ST E
PRESTONID83263-132510/01/2023  
CH100180PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/01/2024  
CH100180PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/01/2024  
CH100180PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/01/2024  
CH100180RIDLEYS FOOD & DRUG911 N MAIN ST
POCATELLOID83204-283107/01/2014 02/14/2022
CH10018AROCKLAND PHARMACY524 TYHEE AVE
AMERICAN FALLSID83211-832104/01/2004  
CH100180ROCKLAND PHARMACY524 TYHEE AVE
AMERICAN FALLSID83211-832104/01/2015 04/23/2019
CH100180ROCKLAND PHARMACY524 TYHEE AVE
AMERICAN FALLSID83211-832104/24/2019  
CH100180SHAVER PHARMACY & COMPOUNDING CTR235 S 4TH AVE
POCATELLOID83201-643804/01/2014 07/26/2017
CH100180SHAVER PHARMACY & COMPOUNDING CTR235 S 4TH AVE
POCATELLOID83201-643807/01/2018 10/31/2022
CH100180SHOPKO PHARMACY #20634215 YELLOWSTONE AVE
CHUBBUCKID83202-241907/01/2016 02/14/2019
CH100180SHOPKO PHARMACY #2104747 SOUTH MAIN
BRIGHAM CITYUT8430207/01/2024 04/16/2024
CH100180SMITH MANAGEMENT CORPDBA SMITH'S FOOD & DRUG #187 905 BRIDGER DRIVE
GREEN RIVERWY8293507/01/2024  
CH100180SMITH'S DRUG KING #86SMITH'S FOOD KING #1 70 YELLOW CREEK RD
EVANSTONWY8293007/01/2024  
CH100180SMITH'S PHARMACY #1822531 FOOTHILL BLVD
ROCK SPRINGSWY8290107/01/2024  
CH100180SMITH'S PHARMACY #477750 N. MAIN ST.
LOGANUT8432107/01/2024  
CH100180SMITH'S PHARMACY #87442 N 175 E
LOGANUT8432107/01/2024  
CH100180SMITHS FOOD & DRUG CTRSDBA SMITH'S PHARMACY #279 2434 NORTH 400 EAST
NORTH OGDENUT8441407/01/2024 12/19/2024
CH100180SMITHS FOOD & DRUG CTRSSMITH'S PHARMACY #178 156 SOUTH MAIN
BRIGHAM CITYUT8430207/01/2024  
CH100180SMITHS FOOD& DRUG CENTERSSMITHS PHARMACY #61 4845 YELLOWSTONE AVENUE
CHUBBUCKID8320207/01/2014  
CH100180SNELL'S PHARMACY SHOPED SNELL'S PHARMACY SHOP 1015 E YOUNG ST
POCATELLOID83201-832001/01/2014 07/02/2024
CH100180WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH100180WAL-MART PHARMACY 10-1456125 NORTH 2ND STREET
EVANSTONWY8293007/01/2024  
CH100180WAL-MART PHARMACY 10-1461201 GATEWAY BLVD.
ROCK SPRINGSWY8290107/01/2024  
CH100180WAL-MART PHARMACY 10-18881550 NORTH MAIN
NORTH LOGANUT8434107/01/2024  
CH100180WAL-MART PHARMACY 10-1905565 JENSEN GROVE DRIVE
BLACKFOOTID8322107/01/2018  
CH100180WAL-MART PHARMACY 10-19954240 YELLOWSTONE AVENUE
CHUBBUCKID8320204/01/2014  
CH100180WAL-MART PHARMACY 10-34541200 SOUTH COMMERCE WAY
PERRYUT8430207/01/2024  
CH100180WAL-MART PHARMACY 10-42721150 S 100 W
LOGANUT8432107/01/2024  
CH100180WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH100180WAL-MART PHARMACY WHSE #452250 NORTH 8TH STREET SUITE 102-A
ROGERSAR7275607/01/2024 04/04/2024
CH100180WALGREEN CO.DBA: WALGREENS # 06380 905 YELLOWSTONE AVE
POCATELLOID8320110/01/2013  
CH100180WALGREEN CO.DBA: WALGREENS # 09157 4257 YELLOWSTONE AVE
CHUBBUCKID8320210/01/2013  
CH100180WALGREEN CO.DBA: WALGREENS # 05839 535 E 17TH STREET
IDAHO FALLSID8340401/01/2015  
CH100180WALGREEN CO.DBA: WALGREENS # 10603 3475 E 17TH ST
AMMONID8340601/01/2015  
CH100180WALGREEN CO.DBA: WALGREENS #13672 960 WEST BRIDGE STREET
BLACKFOOTID8322101/01/2015  
CH100180WALGREEN CO.DBA: WALGREENS #13673 904 E MAIN ST
BURLEYID8331801/01/2015  
CH100180WALGREEN CO.DBA: WALGREENS #10552 999 N. MAIN ST.
LOGANUT84321-591810/01/2024  
CH100180WALGREEN CO.DBA: WALGREENS # 09092 70 GATEWAY BLVD
ROCK SPRINGSWY82901-570910/01/2024  
CH100180Walgreens #21435Walgreens Central Fill #21435 6306 S Airport Rd
West JordanUT84084-560104/01/2024  
CH100180WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528410/01/2013 08/03/2015
CH10018DWALLACE DRUG44 S MAIN ST. BOX 841
ABERDEENID8321004/01/2004  
CH100180WALLACE DRUG44 S MAIN ST. BOX 841
ABERDEENID8321004/01/2015  
CH100180WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275601/01/2024  
CH100180Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsAuthorizing OfficialUpdateProfile Change RequestBenedetti, Mindy CEO Health West, Inc. 2082327882-1120Benedetti, Mindy CEO Health West, Inc. 2082327862-11202/22/2022 1:00 PM
ContactsAuthorizing OfficialUpdateChange RequestBenedetti, Mindy CEO 2082327882-1120Benedetti, Mindy CEO Health West, Inc. 2082327882-112012/6/2017 5:17 PM
ContactsPrimary ContactUpdate Wright, Nancy Director of Executive Services 2082327862-1100Wright, Nancy Director of Executive Services Health West Inc. 2082327862-110012/5/2017 4:31 PM
ContactsAuthorizing OfficialInsert  Benedetti, Mindy CEO 2082327882-11207/12/2017 3:34 PM
ContactsPrimary ContactInsert  Wright, Nancy Director of Executive Services 2082327862-11001/26/2017 2:07 PM
DetailsLast Recertification DateUpdate 2/12/2015 12:00:00 AM2/22/2016 12:00:00 AM2/22/2016 1:18 PM
DatesLast Date That 340B Drugs PurchasedUpdate  6/30/2015 12:00:00 AM2/22/2016 1:18 PM
DetailsStateUpdate ActiveTerminated2/22/2016 1:18 PM
TerminationsTermination CommentsUpdate  This site closed down on July 1,2015. We were able to accommodate this community with 2 of our other locations that are near by.2/22/2016 1:18 PM
TerminationsTermination DateUpdate  4/1/2016 12:00:00 AM2/22/2016 1:18 PM
TerminationsTermination Effective DateUpdate  7/1/2015 12:00:00 AM2/22/2016 1:18 PM
TerminationsTermination ReasonUpdate  Site closure2/22/2016 1:18 PM
AddressesMain AddressInsert   204 CENTER STREET MCCAMMON, ID 832502/22/2016 1:18 PM
DetailsLast Recertification DateUpdate 3/23/2014 12:00:00 AM2/12/2015 12:00:00 AM2/12/2015 1:10 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/23/2014 12:00:00 AM3/23/2014 1:10 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/7/2013 10:17 AM
AddressesBilling AddressInsert  HEALTH WEST, INC. PO BOX 2377 POCATELLO, ID 8320612/6/2012 11:38 AM
DetailsLast Recertification DateInsert   1/13/2011 9:46 AM
DetailsGrant NumberInsert  H80CS003211/13/2011 9:46 AM
Details340B IDInsert  CH10018I1/13/2011 9:46 AM
DetailsIs Authorizing Official EHB DataInsert   1/13/2011 9:46 AM
DatesLast Date That 340B Drugs PurchasedInsert   1/13/2011 9:46 AM
DetailsMedicare Provider NumberInsert   1/13/2011 9:46 AM
DetailsEntity NameInsert  HEALTH WEST, INC.1/13/2011 9:46 AM
DetailsProgram CodeInsert  CH1/13/2011 9:46 AM
DetailsEntity SubnameInsert  MCCAMMON CLINIC1/13/2011 9:46 AM
DatesParticipating Approval DateInsert  9/6/2007 12:00:00 AM1/13/2011 9:46 AM
DetailsStateInsert  Active1/13/2011 9:46 AM
DatesRegistration DateInsert  8/31/2007 12:00:00 AM1/13/2011 9:46 AM
DatesSigned By DateInsert  6/28/2007 12:00:00 AM1/13/2011 9:46 AM
DatesStart DateInsert  10/1/2007 12:00:00 AM1/13/2011 9:46 AM
TerminationsTermination CommentsInsert   1/13/2011 9:46 AM
TerminationsTermination DateInsert   1/13/2011 9:46 AM
TerminationsTermination Effective DateInsert   1/13/2011 9:46 AM
TerminationsTermination ReasonInsert   1/13/2011 9:46 AM