Covered Entity Details

CHC06446-00 COMMUNITY HEALTH CONNECTION INC (Active) - information as of 6/23/2025 12:23:33 AM

Main Details

Name

COMMUNITY HEALTH CONNECTION INC

Subdivision Name

COMMUNITY HEALTH CONNECTION, INC. - ELLEN OCHOA

Type

HRSA-Funded Health Center

Site ID

BPS-H80-030544

340B ID

CHC06446-00

Grant Number

H80CS06446

Additional Details

Current Program Status

Active

Registration Date

6/1/2010

Participating Start Date

7/1/2010

Participating Approval Date

6/3/2010

Last Recertification Date

2/13/2025

Contacts

Authorizing Official

Community Health Connection
Kate Neary, CEO
(918) 698-4492

Primary Contact

Community Health Connection
Kym Patrick, Chief Quality and Compliance Officer
(918) 710-4409

Addresses

Street Address

12020 E 31st St
Tulsa, OK 74146-2001

Billing Address

Community Health Connection, Inc.
2321 East 3rd Street
Tulsa, OK 74104-1831

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?
Yes

State	Medicaid Number	NPI Number
OK	200082520F	1457983595

Shipping Addresses

Shipping Address 1

Community Health Connection, Inc. - Pharmacy
12020 East 31st Street
Tulsa, OK 74146

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	MAY'S DRUG STORES, INC.	DBA: WALGREENS #15770	1150 SOUTH GARNETT ROAD	TULSA	OK	74128-1822	07/07/2014	10/01/2014	03/17/2025	03/17/2025
Contract Detail	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	02/12/2013	04/01/2013	06/25/2015	07/07/2015
Contract Detail	WALGREEN CO		710 OVILLA ROAD	WAXAHACHIE	TX	75167	02/12/2013	04/01/2013	06/25/2015	07/07/2015
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02361	12802 E 96TH ST NORTH	OWASSO	OK	74055-5371	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03018	3112 S. HARVARD AVE.	TULSA	OK	74135	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03037	11332 EAST 31ST	TULSA	OK	74146	02/12/2013	04/01/2013		03/28/2013
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03038	1440 SOUTH LEWIS	TULSA	OK	74104	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03039	6415 EAST PINE	TULSA	OK	74115	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03040	701 WEST HOUSTON ST.	BROKEN ARROW	OK	74012	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03052	2115 S. MEMORIAL DR.	TULSA	OK	74129	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03258	4971 S. MEMORIAL DR.	TULSA	OK	74145	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03771	7111 S. LEWIS AVE.	TULSA	OK	74136	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04723	11 W TAFT AVE	SAPULPA	OK	74066	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05421	1438 N. LEWIS AVE.	TULSA	OK	74110	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05529	2330 CHANDLER RD	MUSKOGEE	OK	74403	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05530	519 S MAIN ST	STILLWATER	OK	74074	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	WALGREENS # 06551	4901 W KENOSHA ST	BROKEN ARROW	OK	74012	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06973	8102 S YALE	TULSA	OK	74137	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07503	1424 S YALE AVE	TULSA	OK	74112-6216	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07504	601 W WILL ROGERS BLVD	CLAREMORE	OK	74017-6824	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07821	950 E KENOSHA STREET	BROKEN ARROW	OK	74012	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07858	5104 S LEWIS AVE	TULSA	OK	74105-6542	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09595	210 S ELM ST	JENKS	OK	74037	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10223	100 NORTH 32ND STREET	MUSKOGEE	OK	74401-2101	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS #10785	1905 S. MUSKOGEE AVE.	TAHLEQUAH	OK	74464-5436	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12714	315 N. 193RD EAST AVE.	CATOOSA	OK	74015	02/12/2013	04/01/2013	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03051	9106 SOUTH SHERIDAN	TULSA	OK	74133	10/07/2013	01/01/2014	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06268	4561 N PEORIA	TULSA	OK	74106	10/07/2013	01/01/2014	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07857	405 E 2ND STREET	SAND SPRINGS	OK	74063-7948	10/07/2013	01/01/2014	07/15/2019	07/15/2019
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16556	1611 E. 15TH ST.	TULSA	OK	74120	07/10/2019	10/01/2019		10/01/2019
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03038	1440 SOUTH LEWIS	TULSA	OK	74104	04/15/2025	07/01/2025		04/15/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05421	1438 N. LEWIS AVE.	TULSA	OK	74110	04/15/2025	07/01/2025		04/15/2025
Contract Detail	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	04/15/2025	07/01/2025		04/15/2025
Contract Detail	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/09/2013	07/01/2013	06/25/2015	07/07/2015
Contract Detail	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/09/2013	07/01/2013	06/25/2015	07/07/2015

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC06446-00	Active	BPS-H80-030544	COMMUNITY HEALTH CONNECTION INC	COMMUNITY HEALTH CONNECTION, INC. - ELLEN OCHOA	12020 E 31st St	Tulsa	OK
CHC06446-01	Active	BPS-H80-010128	COMMUNITY HEALTH CONNECTION INC	K-W- Clinical Construction Project	2321 E 3rd St	Tulsa	OK
CHC06446-02	Active	BPS-H80-028077	Community Health Connection Inc	Community Health Connection Rosa Parks Clinic	13702 E 46th Pl	Tulsa	OK

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC06446-00	MAY'S DRUG STORES, INC.	DBA: WALGREENS #15770	1150 SOUTH GARNETT ROAD	TULSA	OK	74128-1822	10/01/2014	03/17/2025
CHC06446-00	WALGREEN CO	DBA: WALGREENS	28727 OREGON ROAD	PERRYSBURG	OH	43551	04/01/2013	06/25/2015
CHC06446-00	WALGREEN CO		710 OVILLA ROAD	WAXAHACHIE	TX	75167	04/01/2013	06/25/2015
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 02361	12802 E 96TH ST NORTH	OWASSO	OK	74055-5371	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03018	3112 S. HARVARD AVE.	TULSA	OK	74135	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03037	11332 EAST 31ST	TULSA	OK	74146	04/01/2013
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03038	1440 SOUTH LEWIS	TULSA	OK	74104	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03039	6415 EAST PINE	TULSA	OK	74115	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03040	701 WEST HOUSTON ST.	BROKEN ARROW	OK	74012	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03052	2115 S. MEMORIAL DR.	TULSA	OK	74129	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03258	4971 S. MEMORIAL DR.	TULSA	OK	74145	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03771	7111 S. LEWIS AVE.	TULSA	OK	74136	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 04723	11 W TAFT AVE	SAPULPA	OK	74066	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 05421	1438 N. LEWIS AVE.	TULSA	OK	74110	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 05529	2330 CHANDLER RD	MUSKOGEE	OK	74403	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 05530	519 S MAIN ST	STILLWATER	OK	74074	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	WALGREENS # 06551	4901 W KENOSHA ST	BROKEN ARROW	OK	74012	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 06973	8102 S YALE	TULSA	OK	74137	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 07503	1424 S YALE AVE	TULSA	OK	74112-6216	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 07504	601 W WILL ROGERS BLVD	CLAREMORE	OK	74017-6824	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 07821	950 E KENOSHA STREET	BROKEN ARROW	OK	74012	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 07858	5104 S LEWIS AVE	TULSA	OK	74105-6542	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 09595	210 S ELM ST	JENKS	OK	74037	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 10223	100 NORTH 32ND STREET	MUSKOGEE	OK	74401-2101	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS #10785	1905 S. MUSKOGEE AVE.	TAHLEQUAH	OK	74464-5436	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS #12714	315 N. 193RD EAST AVE.	CATOOSA	OK	74015	04/01/2013	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03051	9106 SOUTH SHERIDAN	TULSA	OK	74133	01/01/2014	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 06268	4561 N PEORIA	TULSA	OK	74106	01/01/2014	07/15/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 07857	405 E 2ND STREET	SAND SPRINGS	OK	74063-7948	01/01/2014	07/15/2019
CHC06446-00	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16556	1611 E. 15TH ST.	TULSA	OK	74120	10/01/2019
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 03038	1440 SOUTH LEWIS	TULSA	OK	74104	07/01/2025
CHC06446-00	WALGREEN CO.	DBA: WALGREENS # 05421	1438 N. LEWIS AVE.	TULSA	OK	74110	07/01/2025
CHC06446-00	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	07/01/2025
CHC06446-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2013	06/25/2015
CHC06446-00	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	07/01/2013	06/25/2015

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/9/2024 11:17:15 AM	2/13/2025 3:25:13 PM	2/13/2025 3:25 PM
Contacts	Primary Contact	Update	AO Change Request	Rice, Jane Compliance Officer Community Health Connection, Inc. 9187104411	Patrick, Kym Chief Quality and Compliance Officer Community Health Connection 9187104409	2/11/2025 11:43 AM
Contacts	Authorizing Official	Update	AO Change Request	McCarthy, W James Chief Executive Officer community health connection 9186220641-117	Neary, Kate CEO Community Health Connection 9186984492	2/11/2025 11:43 AM
Details	Last Recertification Date	Update	Recertification	2/20/2023 2:03:17 PM	2/9/2024 11:17:15 AM	2/9/2024 11:17 AM
Details	Last Recertification Date	Update	Recertification	2/9/2022 4:24:24 PM	2/20/2023 2:03:17 PM	2/20/2023 2:03 PM
Details	Last Recertification Date	Update	Recertification	2/22/2021 2:51:41 PM	2/9/2022 4:24:24 PM	2/9/2022 4:24 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/22/2021 2:51 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		200082520F	2/22/2021 2:51 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		OK	2/22/2021 2:51 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	200082520C (OK)		2/22/2021 2:51 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1457983595	2/22/2021 2:51 PM
Medicaid Billing	NPI: State	Insert	Recertification		OK	2/22/2021 2:51 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1700268844 ( )		2/22/2021 2:51 PM
Details	Last Recertification Date	Update	Recertification	2/7/2020 6:53:46 AM	2/22/2021 2:51:41 PM	2/22/2021 2:51 PM
Addresses	Main Address	Update	Change Request	9912 E 21st St Tulsa, OK 74129-1620	12020 E 31st St Tulsa, OK 74146-2001	7/16/2020 8:23 AM
Details	Entity Subname	Update	Change Request	COMMUNITY HEALTH CONNECTION, INC.	COMMUNITY HEALTH CONNECTION, INC. - ELLEN OCHOA	7/16/2020 8:23 AM
Addresses	Shipping Address	Insert	Recertification		Community Health Connection, Inc. - Pharmacy 12020 East 31st Street Tulsa, OK 74146	2/7/2020 6:53 AM
Addresses	Shipping Address	Delete	Recertification	Community Health Connection, Inc. - Pharmacy 2321 East 3rd Street Tulsa, OK 74104-1831		2/7/2020 6:53 AM
Details	Last Recertification Date	Update	Recertification	1/29/2019 3:07:32 PM	2/7/2020 6:53:46 AM	2/7/2020 6:53 AM
Contacts	Authorizing Official	Update	Profile Change Request	McCarthy, James W. Chief Executive Officer community health connection 9186220641-117	McCarthy, W James Chief Executive Officer community health connection 9186220641-117	2/6/2020 4:01 PM
Details	Last Recertification Date	Update	Recertification	2/7/2018 3:59:56 PM	1/29/2019 3:07:32 PM	1/29/2019 3:07 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/7/2018 3:59 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		200082520C	2/7/2018 3:59 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		OK	2/7/2018 3:59 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1700268844	2/7/2018 3:59 PM
Details	Last Recertification Date	Update	Recertification	1/27/2017 12:00:00 AM	2/7/2018 3:59:56 PM	2/7/2018 3:59 PM
Contacts	Authorizing Official	Update		McCarthy, James W. Chief Executive Officer 9186220641-117	McCarthy, James W. Chief Executive Officer community health connection 9186220641-117	2/7/2018 3:57 PM
Contacts	Primary Contact	Update		Rice, Jane Compliance Officer 9187104411	Rice, Jane Compliance Officer Community Health Connection, Inc. 9187104411	9/29/2017 4:35 PM
Addresses	Main Address	Insert			9912 E 21st St Tulsa, OK 74129-1620	1/27/2017 2:32 PM
Contacts	Primary Contact	Update		Lamb, Michelle Director of Pharmacy Services 9186889781	Rice, Jane Compliance Officer 9187104411	1/27/2017 2:32 PM
Contacts	Authorizing Official	Update		PAUL, LAURIE A. CEO 9186225479	McCarthy, James W. Chief Executive Officer 9186220641-117	1/27/2017 2:32 PM
Details	Last Recertification Date	Update		2/29/2016 12:00:00 AM	1/27/2017 12:00:00 AM	1/27/2017 2:32 PM
Addresses	Billing Address	Insert			Community Health Connection, Inc. 2321 East 3rd Street Tulsa, OK 74104-1831	4/14/2016 3:36 PM
Addresses	Shipping Address	Insert			Community Health Connection, Inc. - Pharmacy 2321 East 3rd Street Tulsa, OK 74104-1831	4/14/2016 3:36 PM
Details	Last Recertification Date	Update		3/2/2015 12:00:00 AM	2/29/2016 12:00:00 AM	2/29/2016 10:55 PM
Contacts	Primary Contact	Update		Harris, Jane Compliance Officer 9187104411	Lamb, Michelle Director of Pharmacy Services 9186889781	9/14/2015 4:50 PM
Details	Last Recertification Date	Update		2/11/2014 12:00:00 AM	3/2/2015 12:00:00 AM	3/2/2015 9:44 AM
Contacts	Primary Contact	Update		LAMB, MICHELLE PHARMACIST 9186889781	Harris, Jane Compliance Officer 9187104411	4/30/2014 10:39 AM
Details	Entity Name	Update		COMMUNITY HEALTH CONNECTION, INC.	COMMUNITY HEALTH CONNECTION INC	3/31/2014 4:25 PM
Details	Entity Subname	Update			COMMUNITY HEALTH CONNECTION, INC.	3/31/2014 4:25 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	2/11/2014 12:00:00 AM	2/11/2014 2:48 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/21/2013 10:37 AM
Contacts	Authorizing Official	Insert			PAUL, LAURIE A. CEO 9186225479	6/3/2010 8:22 AM
Contacts	Primary Contact	Insert			LAMB, MICHELLE PHARMACIST 9186889781	6/3/2010 8:22 AM
Details	Last Recertification Date	Insert				6/3/2010 8:22 AM
Details	Grant Number	Insert			H80CS06446	6/3/2010 8:22 AM
Details	340B ID	Insert			CHC06446-00	6/3/2010 8:22 AM
Details	Is Authorizing Official EHB Data	Insert				6/3/2010 8:22 AM
Dates	Last Date That 340B Drugs Purchased	Insert				6/3/2010 8:22 AM
Details	Medicare Provider Number	Insert				6/3/2010 8:22 AM
Details	Entity Name	Insert			COMMUNITY HEALTH CONNECTION, INC.	6/3/2010 8:22 AM
Details	Program Code	Insert			CH	6/3/2010 8:22 AM
Details	Entity Subname	Insert				6/3/2010 8:22 AM
Dates	Participating Approval Date	Insert			6/3/2010 12:00:00 AM	6/3/2010 8:22 AM
Details	State	Insert			Active	6/3/2010 8:22 AM
Dates	Registration Date	Insert			6/1/2010 12:00:00 AM	6/3/2010 8:22 AM
Dates	Signed By Date	Insert			5/28/2010 12:00:00 AM	6/3/2010 8:22 AM
Dates	Start Date	Insert			7/1/2010 12:00:00 AM	6/3/2010 8:22 AM
Terminations	Termination Comments	Insert				6/3/2010 8:22 AM
Terminations	Termination Date	Insert				6/3/2010 8:22 AM
Terminations	Termination Effective Date	Insert				6/3/2010 8:22 AM
Terminations	Termination Reason	Insert				6/3/2010 8:22 AM

340B Drug Pricing Program Database