Covered Entity Details

SCH270012-00 BENEFIS HOSPITALS, INC. (Terminated) - information as of 6/21/2025 12:07:16 AM

Main Details

Name

BENEFIS HOSPITALS, INC.

Subdivision Name

Type

Sole Community Hospital

Rural

340B ID

SCH270012-00

Medicare Provider Number

270012

Additional Details

Current Program Status

Terminated

Registration Date

12/16/2010

Participating Start Date

1/1/2011

Participating Approval Date

12/17/2010

Last Recertification Date

8/23/2018

Termination Date
Termination Reason

1/1/2019
Loss of qualifying hospital status

Contacts

Authorizing Official

Benefis Hospitals Inc
Terry Olinger, President
(406) 455-5477

Primary Contact

Benefis Hospitals Inc.
David Richard Runkel, Pharmacy Director
(406) 455-5434

Addresses

Street Address

1101 26TH STREET SOUTH
GREAT FALLS, MT 59405

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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?
No

Shipping Addresses

Shipping Address 1

BENEFIS HOSPITALS EAST
1101 26TH ST. SOUTH
ATTN: PHARMACY
GREAT FALLS, MT 59405

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/10/2018	07/01/2018	12/31/2018	12/31/2018
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/10/2018	07/01/2018	12/31/2018	12/31/2018
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/10/2018	07/01/2018	12/31/2018	12/31/2018
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/10/2018	07/01/2018	12/31/2018	12/31/2018
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/10/2018	07/01/2018	12/31/2018	12/31/2018
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/10/2018	07/01/2018	12/31/2018	12/31/2018
Contract Detail	ALBERTSONS LLC	OSCO PHARMACY #4008	3151 NORTH MONTANA AVENUE	HELENA	MT	59602	10/07/2016	01/01/2017	01/11/2018	01/15/2018
Contract Detail	ALBERTSONS LLC	OSCO PHARMACY #19	117 WEST JANEAUX	LEWISTOWN	MT	59457	10/07/2016	01/01/2017	01/11/2018	01/15/2018
Contract Detail	ALBERTSONS LLC	OSCO PHARMACY #37	2250 10TH AVENUE SOUTH	GREAT FALLS	MT	59405	10/07/2016	01/01/2017	12/31/2018	12/31/2018
Contract Detail	ALBERTSONS LLC	OSCO PHARMACY #35	1414 3RD STREET NORTHWEST	GREAT FALLS	MT	59404	10/07/2016	01/01/2017	12/31/2018	12/31/2018
Contract Detail	ALBERTSONS LLC	OSCO PHARMACY #33	501 WEST MAIN STREET	CUT BANK	MT	59427	10/07/2016	01/01/2017	01/11/2018	01/15/2018
Contract Detail	CVS PHARMACY INC	777 S HARBOR BLVD STE D-152		LA HABRA	CA	90631-6882	10/17/2014	01/01/2015	12/31/2018	12/31/2018
Contract Detail	DIPLOMAT SPECIALTY PHARMACY	4100 S SAGINAW ST	STE D	FLINT	MI	48507-2683	10/14/2016	01/01/2017	12/31/2018	12/31/2018
Contract Detail	KMART PHARMACY		1000 3RD STREET NW	GREAT FALLS	MT	59404	07/15/2016	10/01/2016	01/11/2018	01/15/2018
Contract Detail	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08624	2001 10TH AVENUE SOUTH	GREAT FALLS	MT	59405	10/17/2014	01/01/2015	12/31/2018	12/31/2018
Contract Detail	SHOPKO PHARMACY #2062	301 NORTHWEST BYPASS		GREAT FALLS	MT	59404-4125	07/14/2016	10/01/2016	12/31/2018	12/31/2018
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/20/2014	01/01/2015	12/31/2018	12/31/2018
Contract Detail	WAL-MART PHARMACY 10-2455	701 SMELTER AVENUE NE		GREAT FALLS	MT	59404	10/20/2014	01/01/2015	12/31/2018	12/31/2018
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/20/2014	01/01/2015	12/31/2018	12/31/2018
Contract Detail	WALGREEN CO	DBA: WALGREENS #10083	2301 10TH AVE S	GREAT FALLS	MT	59405-2967	08/13/2012	08/13/2012	12/31/2018	12/31/2018
Contract Detail	WALGREEN CO	DBA: WALGREENS #10859	1213 3RD ST NW	GREAT FALLS	MT	59404-4116	08/13/2012	08/13/2012	12/31/2018	12/31/2018
Contract Detail	WALMART PHARMACY 10-7199	5320 10TH AVE S		GREAT FALLS	MT	59405	01/15/2018	04/01/2018	12/31/2018	12/31/2018

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
SCH270012-01	Child	SCH	BENEFIS HOSPITALS, INC.	BENEFIS WEST CAMPUS	500 15TH AVE. SOUTH	GREAT FALLS	MT	Terminated
SCH270012-03	Child	SCH	BENEFIS HOSPITALS, INC.	BENEFIS EXTENDED CARE CENTER	2621 15TH AVE. SOUTH	GREAT FALLS	MT	Terminated
SCH270012-04	Child	SCH	BENEFIS HOSPITALS, INC.	PEACE HOSPICE	1501 26TH STREET SOUTH	GREAT FALLS	MT	Terminated
SCH270012-05	Child	SCH	BENEFIS HOSPITALS, INC.	SLETTEN CANCER INSTITUTE - Radiation Oncology and Infusion Center	1117 29TH STREET SOUTH	GREAT FALLS	MT	Terminated
SCH270012-06	Child	SCH	BENEFIS HOSPITALS, INC.	Sletten Cancer Institute - Medical Oncology offices and Infusion Suite	1117 29th St. South	Great Falls	MT	Terminated
SCH270012-07	Child	SCH	BENEFIS HOSPITALS, INC.	Sletten Cancer Institute - GYN Oncology Office and Infusion Center	1117 29th St. South	Great Falls	MT	Terminated
SCH270012-08	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Urology	1401 25th St. S.	Great Falls	MT	Terminated
SCH270012-09	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Heart and Vascular Institute	1101 26th Street South	Great Falls	MT	Terminated
SCH270012-10	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Internal Medicine	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-11	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Pulmonology	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-12	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Endocrinology	1401 25th St. South	Great Falls	MT	Terminated
SCH270012-13	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Neurology	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-14	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Plastic and Reconstructive Surgery	400 13th Ave. South	Great Falls	MT	Terminated
SCH270012-15	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Gastroenterology	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-17	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Dermatology	400 13th Ave. S.	Great Falls	MT	Terminated
SCH270012-18	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Otolaryngology	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-19	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Rheumatology	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-20	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Neuroscience	500 15th Ave S	Great Falls	MT	Terminated
SCH270012-21	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Walk-In	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-22	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis OBGYN	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-23	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Family Medicine	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-24	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Physical Medicine (Rehab)	500 15th Ave. South	Great Falls	MT	Terminated
SCH270012-25	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Neurosurgery	1401 25th St. S.	Great Falls	MT	Terminated
SCH270012-26	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Pediatrics	1300 28th St. South	Great Falls	MT	Terminated
SCH270012-27	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Pain Management	500 15th Ave. S.	GREAT FALLS	MT	Terminated
SCH270012-28	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Post Discharge Clinic	1401 25th St. S	GREAT FALLS	MT	Terminated
SCH270012-29	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Orthopedic Center of Montana	1401 25th St. S.	Great Falls	MT	Terminated
SCH270012-30	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Department of Outpatient Surgery	1401 25th St. S.	Great Falls	MT	Terminated
SCH270012-31	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Same Day Orthopedics	1401 25th Street South	Great Falls	MT	Terminated
SCH270012-32	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Bladder and Pelvic Treatment Center	2800 11th Avenue South	Great Falls	MT	Terminated
SCH270012-33	Child	SCH	BENEFIS HOSPITALS, INC.	PAIN MANAGEMENT CLINIC / Primary Care Pain Clinic	500 15TH AVE SOUTH	GREAT FALLS	MT	Terminated
SCH270012-34	Child	SCH	BENEFIS HOSPITALS, INC.	Hyperbaric Oxygen Therapy	500 15th Ave. South	Great Falls	MT	Terminated
SCH270012-35	Child	SCH	BENEFIS HOSPITALS, INC.	WOUND CARE CLINIC	500 15TH AVE SOUTH	GREAT FALLS	MT	Terminated
SCH270012-36	Child	SCH	BENEFIS HOSPITALS, INC.	BENEFIS HOSPITALS, INC - PSYCH/CDU	500 15TH AVE SOUTH	GREAT FALLS	MT	Terminated
SCH270012-37	Child	SCH	BENEFIS HOSPITALS, INC.	Benefis Infectious Disease	1401 25th Street South	Great Falls	MT	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	1/1/2019 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	OPA Edit Termination Info	10/30/2018 12:00:00 AM	12/31/2018 12:00:00 AM	11/1/2018 1:17 PM
Details	State	Update	OPA Edit Termination Info	Terminated	To Be Terminated	11/1/2018 1:17 PM
Terminations	Termination Date	Update	OPA Edit Termination Info	10/30/2018 12:00:00 AM	1/1/2019 12:00:00 AM	11/1/2018 1:17 PM
Terminations	Termination Effective Date	Update	OPA Edit Termination Info	10/30/2018 12:00:00 AM	12/31/2018 12:00:00 AM	11/1/2018 1:17 PM
Details	State	Update		To Be Terminated	Terminated	10/30/2018 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	OPA Edit Termination Info	12/31/2018 12:00:00 AM	10/30/2018 12:00:00 AM	10/24/2018 1:17 PM
Terminations	Termination Date	Update	OPA Edit Termination Info	1/1/2019 12:00:00 AM	10/30/2018 12:00:00 AM	10/24/2018 1:17 PM
Terminations	Termination Effective Date	Update	OPA Edit Termination Info	12/31/2018 12:00:00 AM	10/30/2018 12:00:00 AM	10/24/2018 1:17 PM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		12/31/2018 12:00:00 AM	10/24/2018 1:07 PM
Details	State	Update	Termination Request	Active	To Be Terminated	10/24/2018 1:07 PM
Terminations	Termination Comments	Update	Termination Request		Changing from SCH to DSH	10/24/2018 1:07 PM
Terminations	Termination Date	Update	Termination Request		1/1/2019 12:00:00 AM	10/24/2018 1:07 PM
Terminations	Termination Effective Date	Update	Termination Request		12/31/2018 12:00:00 AM	10/24/2018 1:07 PM
Terminations	Termination Reason	Update	Termination Request		Loss of qualifying hospital status	10/24/2018 1:07 PM
Details	Last Recertification Date	Update	Recertification	11/3/2017 2:15:47 PM	8/23/2018 6:53:44 AM	8/23/2018 6:53 AM
Details	Last Recertification Date	Update	Recertification	8/15/2016 12:00:00 AM	11/3/2017 2:15:47 PM	11/3/2017 2:15 PM
Contacts	Authorizing Official	Update		Olinger, Terry President 4064555477	Olinger, Terry President Benefis Hospitals Inc 4064555477	10/10/2017 7:41 PM
Contacts	Primary Contact	Update		Runkel, David Pharmacy Director 4064555434	Runkel, David Richard Pharmacy Director Benefis Hospitals Inc. 4064555434	9/29/2017 10:55 AM
Contacts	Authorizing Official	Update		DAVENPORT, DOUGLAS C. SYSTEM CHIEF FINANCIAL OFFICER 4064555483	Olinger, Terry President 4064555477	10/14/2016 10:34 AM
Contacts	Primary Contact	Update		DAVENPORT, DOUGLAS C. SYSTEM CHIEF FINANCIAL OFFICER 4064555483	Runkel, David Pharmacy Director 4064555434	10/14/2016 10:34 AM
Addresses	Main Address	Insert			1101 26TH STREET SOUTH GREAT FALLS, MT 59405	8/23/2016 12:29 PM
Addresses	Shipping Address	Insert			BENEFIS HOSPITALS EAST 1101 26TH ST. SOUTH ATTN: PHARMACY GREAT FALLS, MT 59405	8/23/2016 12:29 PM
Details	Last Recertification Date	Update		8/13/2015 12:00:00 AM	8/15/2016 12:00:00 AM	8/16/2016 1:17 PM
Details	Last Recertification Date	Update		8/11/2014 12:00:00 AM	8/13/2015 12:00:00 AM	8/13/2015 2:26 PM
Details	Last Recertification Date	Update		9/12/2013 12:00:00 AM	8/11/2014 12:00:00 AM	8/11/2014 2:51 PM
Contacts	Authorizing Official	Insert			DAVENPORT, DOUGLAS C. SYSTEM CHIEF FINANCIAL OFFICER 4064555483	7/3/2014 4:20 PM
Contacts	Primary Contact	Insert			DAVENPORT, DOUGLAS C. SYSTEM CHIEF FINANCIAL OFFICER 4064555483	7/3/2014 4:20 PM
Details	Last Recertification Date	Update		7/1/2012 12:00:00 AM	9/12/2013 12:00:00 AM	9/12/2013 3:15 PM
Details	Last Recertification Date	Update			7/1/2012 12:00:00 AM	5/4/2012 8:20 AM
Details	Last Recertification Date	Insert				12/16/2010 2:43 PM
Details	Grant Number	Insert				12/16/2010 2:43 PM
Details	340B ID	Insert			SCH270012-00	12/16/2010 2:43 PM
Details	Is Authorizing Official EHB Data	Insert				12/16/2010 2:43 PM
Dates	Last Date That 340B Drugs Purchased	Insert				12/16/2010 2:43 PM
Details	Medicare Provider Number	Insert			270012	12/16/2010 2:43 PM
Details	Entity Name	Insert			BENEFIS HOSPITALS, INC.	12/16/2010 2:43 PM
Details	Program Code	Insert			SCH	12/16/2010 2:43 PM
Details	Entity Subname	Insert				12/16/2010 2:43 PM
Dates	Participating Approval Date	Insert			12/17/2010 12:00:00 AM	12/16/2010 2:43 PM
Details	State	Insert			Active	12/16/2010 2:43 PM
Dates	Registration Date	Insert			12/16/2010 12:00:00 AM	12/16/2010 2:43 PM
Dates	Signed By Date	Insert			12/14/2010 12:00:00 AM	12/16/2010 2:43 PM
Dates	Start Date	Insert			1/1/2011 12:00:00 AM	12/16/2010 2:43 PM
Terminations	Termination Comments	Insert				12/16/2010 2:43 PM
Terminations	Termination Date	Insert				12/16/2010 2:43 PM
Terminations	Termination Effective Date	Insert				12/16/2010 2:43 PM
Terminations	Termination Reason	Insert				12/16/2010 2:43 PM