Covered Entity Details

CAH281322-00 FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE (Active) - information as of 6/19/2025 11:52:25 PM

Main Details

Name

FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE

Subdivision Name

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH281322-00

Medicare Provider Number

281322

Additional Details

Current Program Status

Active

Registration Date

5/11/2011

Participating Start Date

7/1/2011

Participating Approval Date

6/14/2011

Last Recertification Date

8/15/2024

Contacts

Authorizing Official

St. Francis Memorial Hospital
Alisa Ann Brunsing, CFO
(402) 372-6717

Primary Contact

St. Francis Memorial Hospital
Michelle Borgmann, Pharmacist
(402) 372-6730

Addresses

Street Address

430 NORTH MONITOR STREET
WEST POINT, NE 68788

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

FRANCISCAN HEALTHCARE
430 NORTH MONITOR STREET
WEST POINT, NE 68788

Shipping Address 2

Franciscan Pharmacy
435 N Monitor St
West Point, NE 68788

Shipping Address 3

Franciscan Pharmacy Oakland
301 N Oakland Ave
Oakland, NE 68045

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	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	AMBER PHARMACY	AMBER ENTERPRISES, INC.	10004 S 152ND STREET SUITE A	OMAHA	NE	68138-3931	01/11/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	COMMUNITY PHARMACY SERVICES	21689 NORTHSTAR DR		GRETNA	NE	68028	10/02/2019	01/01/2020	01/11/2021	01/12/2021
Contract Detail	COMMUNITY PHARMACY SERVICES LLC	DBA CONSONUS PHARMACY GRETNA	21689 NORTHSTAR DR	GRETNA	NE	68028	01/12/2021	01/12/2021	12/03/2021	06/16/2022
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/08/2019	04/01/2019	04/14/2021	04/14/2021
Contract Detail	FRANCISCAN PHARMACY OAKLAND	301 N OAKLAND AVE		OAKLAND	NE	68045	04/01/2019	07/01/2019	08/09/2024	08/09/2024
Contract Detail	Hy-Vee Pharmacy Fulfillment Center #4016	Hy-Vee Inc	4707 Fleur Dr	Des Moines	IA	50321	07/10/2019	07/10/2019	11/01/2022	11/16/2022
Contract Detail	Hy-Vee Pharmacy Fullfillment Center #4016	Hy-Vee Inc	4704 Fleur Dr	Des Moines	IA	50321	04/11/2019	07/01/2019	07/10/2019	07/10/2019
Contract Detail	HY-VEE PHARMACY SOLUTIONS	HYVACS, LLC	10004 S. 152ND ST., SUITE C	OMAHA	NE	68138	01/08/2019	04/01/2019	11/01/2022	11/16/2022
Contract Detail	HY-VEE, INC.	HY-VEE PHARMACY (7090)	500 PLAZA DR.	WEST POINT	NE	68788-2612	04/11/2019	07/01/2019	11/01/2022	11/16/2022
Contract Detail	KOHLL'S RX	SAKRX, LLC	2915 LEAVENWORTH ST	OMAHA	NE	68105-2739	07/07/2020	10/01/2020	06/02/2021	06/02/2021
Contract Detail	KOHLL'S RX	SAKRX, LLC	12741 Q ST	OMAHA	NE	68137-3211	06/02/2021	07/01/2021	02/16/2022	06/16/2022
Contract Detail	OPTUM FRONTIER THERAPIES II, LLC	6425 SANTA MARGARITA ST UNIT 110		LAS VEGAS	NV	89118-1913	10/02/2019	01/01/2020	06/16/2022	06/16/2022
Contract Detail	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/02/2019	01/01/2020	06/16/2022	06/16/2022
Contract Detail	OPTUM PHARMACY 705, LLC	11142 RENNER BLVD		LENEXA	KS	66219	10/02/2019	01/01/2020	06/16/2022	06/16/2022
Contract Detail	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	10/02/2019	01/01/2020	06/16/2022	06/16/2022
Contract Detail	SCRIBNER DRUGSTORE	MIDWEST HEALTH INNOVATIONS LLC	416 MAIN ST	SCRIBNER	NE	68057-3196	07/06/2016	07/07/2016		02/16/2017
Contract Detail	SCRIBNER PHARMACY		416 MAIN STREET	SCRIBNER	NE	68057	04/10/2015	07/01/2015	07/01/2016	02/16/2017
Contract Detail	SHOPKO PHARMACY #2661	500 PLAZA DR		WEST POINT	NE	68788	04/12/2013	07/01/2013	02/28/2019	06/14/2019
Contract Detail	TOM'S REXALL DRUG	124 N MAIN ST		WEST POINT	NE	68788-1416	10/01/2012	10/01/2012	02/24/2022	06/16/2022
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/14/2021	07/01/2021	11/01/2022	11/16/2022
Contract Detail	WAL-MART PHARMACY 10-0645	2400 PASEWALK AVE		NORFOLK	NE	68701	04/14/2021	07/01/2021	11/01/2022	11/16/2022
Contract Detail	WAL-MART PHARMACY 10-0774	818 EAST 23RD ST.		COLUMBUS	NE	68601	04/14/2021	07/01/2021	11/01/2022	11/16/2022
Contract Detail	WAL-MART PHARMACY 10-0776	3010 EAST 23RD AVENUE NORTH		FREMONT	NE	68025	04/14/2021	07/01/2021	11/01/2022	11/16/2022
Contract Detail	WAL-MART PHARMACY 10-1332	1601 CORNHUSKERS DRIVE		SOUTH SIOUX CITY	NE	68776	04/14/2021	07/01/2021	11/01/2022	11/16/2022
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/14/2021	07/01/2021	11/01/2022	11/16/2022
Contract Detail	WEST POINT APOTHECARY	303 PLAZA DR.		WEST POINT	NE	68788-2611	04/01/2019	07/01/2019	09/22/2020	04/14/2021
Contract Detail	WISNER APOTHECARY	118 18TH ST		WISNER	NE	68791-2248	10/03/2016	01/01/2017		02/16/2017

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH281322-01	Child	CAH	FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE	FRANCISCAN HEALTHCARE WEST POINT CLINIC	500 EAST DECATUR	WEST POINT	NE	Active
CAH281322-02	Child	CAH	FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE	FRANCISCAN HEALTHCARE HOWELLS CLINIC	119 S 3RD STREET	HOWELLS	NE	Active
CAH281322-03	Child	CAH	FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE	FRANCISCAN HEALTHCARE WISNER CLINIC	2100 21ST CIRCLE	WISNER	NE	Active
CAH281322-04	Child	CAH	FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE	OAKLAND FAMILY PRACTICE	100 WEST 9TH STREET	OAKLAND	NE	Terminated
CAH281322-05	Child	CAH	FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE	FRANCISCAN HEALTHCARE SCRIBNER CLINIC	429 MAIN STREET	SCRIBNER	NE	Active
CAH281322-06	Child	CAH	ST. FRANCIS MEMORIAL HOSPITAL	FRANCISCAN CARE SERVICES INC - HOOPER MEDICAL CLINIC	600 E FULTON ST STE A	HOOPER	NE	Terminated
CAH281322-07	Child	CAH	FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE	Franciscan Healthcare Oakland Clinic - Family Practice	211 N Engdahl Ave	Oakland	NE	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/21/2023 11:34:55 AM	8/15/2024 10:45:59 AM	8/15/2024 10:45 AM
Addresses	Shipping Address	Insert	Change Request		Franciscan Pharmacy Oakland 301 N Oakland Ave Oakland, NE 68045	8/14/2024 8:07 AM
Addresses	Shipping Address	Update	Change Request	St. Francis Memorial Hospital 430 NORTH MONITOR STREET WEST POINT, NE 68788	FRANCISCAN HEALTHCARE 430 NORTH MONITOR STREET WEST POINT, NE 68788	9/7/2023 9:16 AM
Details	Entity Name	Update	Change Request	ST. FRANCIS MEMORIAL HOSPITAL	FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE	9/7/2023 9:16 AM
Details	Last Recertification Date	Update	Recertification	8/25/2022 9:37:23 AM	8/21/2023 11:34:55 AM	8/21/2023 11:34 AM
Details	Last Recertification Date	Update	Recertification	8/19/2021 11:46:59 AM	8/25/2022 9:37:23 AM	8/25/2022 9:37 AM
Details	Last Recertification Date	Update	Recertification	8/28/2020 2:47:21 PM	8/19/2021 11:46:59 AM	8/19/2021 11:46 AM
Addresses	Shipping Address	Insert	Change Request		St. Francis Memorial Hospital 430 NORTH MONITOR STREET WEST POINT, NE 68788	6/9/2021 8:21 AM
Addresses	Shipping Address	Insert	Change Request		Franciscan Pharmacy 435 N Monitor St West Point, NE 68788	6/9/2021 8:21 AM
Details	Last Recertification Date	Update	Recertification	8/26/2019 10:16:26 AM	8/28/2020 2:47:21 PM	8/28/2020 2:47 PM
Contacts	Primary Contact	Update	Change Request	EINFALT, MICHELLE PHARMACY DIRECTOR St. Francis Memorial Hospital 4023726730	Borgmann, Michelle Pharmacist St. Francis Memorial Hospital 4023726730	7/13/2020 8:43 AM
Details	Last Recertification Date	Update	Recertification	8/21/2018 3:38:42 PM	8/26/2019 10:16:26 AM	8/26/2019 10:16 AM
Contacts	Authorizing Official	Update	Change Request	Wordekemper, Jerry CEO/PRESIDENT St. Francis Memorial Hospital 4023722404-2101	Brunsing, Alisa Ann CFO St. Francis Memorial Hospital 4023726717	7/11/2019 8:05 AM
Details	Last Recertification Date	Update	Recertification	11/20/2017 11:31:01 AM	8/21/2018 3:38:42 PM	8/21/2018 3:38 PM
Details	Last Recertification Date	Update	Recertification	8/15/2016 12:00:00 AM	11/20/2017 11:31:01 AM	11/20/2017 11:31 AM
Contacts	Primary Contact	Update	Recertification	EINFALT, MICHELLE PHARMACY DIRECTOR 4023726730	EINFALT, MICHELLE PHARMACY DIRECTOR St. Francis Memorial Hospital 4023726730	11/20/2017 11:27 AM
Contacts	Authorizing Official	Update		Wordekemper, Jerry CEO/PRESIDENT 4023722404-2101	Wordekemper, Jerry CEO/PRESIDENT St. Francis Memorial Hospital 4023722404-2101	10/14/2017 8:44 AM
Contacts	Authorizing Official	Insert			Wordekemper, Jerry CEO/PRESIDENT 4023722404-2101	2/16/2017 4:43 PM
Contacts	Primary Contact	Insert			EINFALT, MICHELLE PHARMACY DIRECTOR 4023726730	2/16/2017 4:43 PM
Addresses	Main Address	Insert			430 NORTH MONITOR STREET WEST POINT, NE 68788	2/16/2017 4:43 PM
Details	Last Recertification Date	Update		8/13/2015 12:00:00 AM	8/15/2016 12:00:00 AM	8/15/2016 3:27 PM
Details	Last Recertification Date	Update		8/12/2014 12:00:00 AM	8/13/2015 12:00:00 AM	8/13/2015 2:37 PM
Details	Last Recertification Date	Update		8/21/2013 12:06:46 PM	8/12/2014 12:00:00 AM	8/12/2014 4:47 PM
Details	Last Recertification Date	Update			8/21/2013 12:06:46 PM	8/21/2013 12:06 PM
Details	Last Recertification Date	Insert				6/14/2011 7:48 AM
Details	Grant Number	Insert				6/14/2011 7:48 AM
Details	340B ID	Insert			CAH281322-00	6/14/2011 7:48 AM
Details	Is Authorizing Official EHB Data	Insert				6/14/2011 7:48 AM
Dates	Last Date That 340B Drugs Purchased	Insert				6/14/2011 7:48 AM
Details	Medicare Provider Number	Insert			281322	6/14/2011 7:48 AM
Details	Entity Name	Insert			ST. FRANCIS MEMORIAL HOSPITAL	6/14/2011 7:48 AM
Details	Program Code	Insert			CAH	6/14/2011 7:48 AM
Details	Entity Subname	Insert				6/14/2011 7:48 AM
Dates	Participating Approval Date	Insert			6/14/2011 12:00:00 AM	6/14/2011 7:48 AM
Details	State	Insert			Active	6/14/2011 7:48 AM
Dates	Registration Date	Insert			5/11/2011 12:00:00 AM	6/14/2011 7:48 AM
Dates	Signed By Date	Insert			5/11/2011 12:00:00 AM	6/14/2011 7:48 AM
Dates	Start Date	Insert			7/1/2011 12:00:00 AM	6/14/2011 7:48 AM
Terminations	Termination Comments	Insert				6/14/2011 7:48 AM
Terminations	Termination Date	Insert				6/14/2011 7:48 AM
Terminations	Termination Effective Date	Insert				6/14/2011 7:48 AM
Terminations	Termination Reason	Insert				6/14/2011 7:48 AM