340B Drug Pricing Program Database


CH051920A OUTREACH COMMUNITY HEALTH CENTERS, INC. (Active) - information as of 5/2/2025 10:38:21 PM

Main Details
OUTREACH COMMUNITY HEALTH CENTERS, INC.
Outreach Community Health Centers, Incorporated
HRSA-Funded Health Center
BPS-H80-003075
CH051920A
H80CS00034


Additional Details
Active
9/16/2011
10/1/2011
9/19/2011
2/25/2025

Contacts

Outreach Community Health Center
Julia Harris Robinson, CFO
(414) 964-9016

Outreach Community Health Center, Inc.
Nicole Mubanga, Chief Medical Officer
(414) 964-9016

Addresses

210 W Capitol Dr
Milwaukee, WI 53212-1123

Healthcare for the Homeless of Milwaukee
711 West Capitol Drive
Milwaukee, WI 53206


  • 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
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH051920ActiveBPS-H80-037609OUTREACH COMMUNITY HEALTH CENTERS, INC.Outreach Community Health Centers, Incorporated220 W Capitol Drive MilwaukeeWI
CH051920AActiveBPS-H80-003075OUTREACH COMMUNITY HEALTH CENTERS, INC.Outreach Community Health Centers, Incorporated210 W Capitol Dr MilwaukeeWI
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH051920AURORA PHARMACY1575 N RIVERCENTER DR
MILWAUKEEWI53212-396004/01/2008 06/28/2017
CH051920ASAGE SPECIALTY PHARMACY INC4001 N. OAKLAND AVE
SHOREWOODWI5321101/01/2022  
CH051920SAGE SPECIALTY PHARMACY INC4001 N. OAKLAND AVE
SHOREWOODWI5321101/01/2022  
CH051920Walgreen CODBA Walgreens Central Fill #21417 599 S Schmidt Rd
Ste A 		BolingbrookIL60440-940510/01/2023  
CH051920WALGREEN CO.DBA: WALGREENS # 04720 2222 W. CAPITOL
MILWAUKEEWI5320604/01/2018 01/15/2024
CH051920WALGREEN CO.DBA: WALGREENS # 07370 6442 N 76TH STREET
MILWAUKEEWI53223-610204/01/2018  
CH051920WALGREEN CO.DBA: WALGREENS #21396 320 E CAPITOL DR
MILWAUKEEWI5321204/01/2018  
CH051920WALGREEN CO.DBA: WALGREENS # 03109 7171 N. TEUTONIA AVENUE
MILWAUKEEWI5320904/01/2018  
CH051920WALGREEN CO.DBA: WALGREENS # 04537 7600 W CAPITOL DRIVE
MILWAUKEEWI5322204/01/2018  
CH051920WALGREEN CO.WALGREENS SPECIALTY PHARMACY #15322 826 N PLANKINTON AVE STE 100
MILWAUKEEWI5320304/01/2018  
CH051920WALGREEN CO.DBA: WALGREENS # 02925 5115 WEST CAPITOL DR
MILWAUKEEWI5321604/01/2018  
CH051920WALGREEN CO.DBA: WALGREENS #12524 6020 W. BROWN DEER RD.
BROWN DEERWI5322304/01/2018  
CH051920WALGREEN CO.DBA: WALGREENS # 04984 6707 W. HAMPTON AVE.
MILWAUKEEWI5321804/01/2018 10/23/2023
CH051920WALGREEN CO.WALGREENS SPECIALTY PHARMACY #21254 2265 N MAYFAIR RD.
WAUWATOSAWI5322607/01/2023  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateRecertificationJames, Ernest CFO Outreach Community Health Center, Inc. 4149649016Mubanga, Nicole Chief Medical Officer Outreach Community Health Center, Inc. 41496490162/25/2025 1:08 PM
DetailsLast Recertification DateUpdateRecertification2/8/2024 10:28:51 AM2/25/2025 1:08:40 PM2/25/2025 1:08 PM
ContactsPrimary ContactUpdateRecertificationOrth, Erin K Pharmacy Director Outreach Community Health Centers (fka Health Care for the Homeless aka HCHM) 4149623750-2253James, Ernest CFO Outreach Community Health Center, Inc. 41496490162/8/2024 10:28 AM
DetailsLast Recertification DateUpdateRecertification2/13/2023 5:17:10 PM2/8/2024 10:28:51 AM2/8/2024 10:28 AM
ContactsAuthorizing OfficialUpdateAO Change RequestSanders, Angela Interim CEO Outreach Community Health Centers 4149649023Harris Robinson, Julia CFO Outreach Community Health Center 41496490167/19/2023 8:14 AM
DetailsLast Recertification DateUpdateRecertification2/9/2022 1:56:51 PM2/13/2023 5:17:10 PM2/13/2023 5:17 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestSanders, Angela Interim CEO Outreach Community Health Centers 1414964902Sanders, Angela Interim CEO Outreach Community Health Centers 41496490232/18/2022 9:45 AM
ContactsAuthorizing OfficialUpdateAO Change RequestHarris Robinson, Julia CFO Outreach Community Health Center 4149649016Sanders, Angela Interim CEO Outreach Community Health Centers 14149649022/11/2022 8:37 AM
ContactsPrimary ContactUpdateRecertificationPire, Tom Gerald Pharmacist Outreach Community Health Center 4149623750Orth, Erin K Pharmacy Director Outreach Community Health Centers (fka Health Care for the Homeless aka HCHM) 4149623750-22532/9/2022 1:56 PM
DetailsLast Recertification DateUpdateRecertification2/8/2021 8:27:12 AM2/9/2022 1:56:51 PM2/9/2022 1:56 PM
DetailsLast Recertification DateUpdateRecertification1/28/2020 9:14:46 AM2/8/2021 8:27:12 AM2/8/2021 8:27 AM
DetailsLast Recertification DateUpdateRecertification1/29/2019 1:26:42 PM1/28/2020 9:14:46 AM1/28/2020 9:14 AM
DetailsLast Recertification DateUpdateRecertification2/8/2018 10:22:12 AM1/29/2019 1:26:42 PM1/29/2019 1:26 PM
DetailsLast Recertification DateUpdateRecertification2/3/2017 12:00:00 AM2/8/2018 10:22:12 AM2/8/2018 10:22 AM
ContactsAuthorizing OfficialUpdateAO Change RequestJenkins, William Executive Director 4149065306-102Harris Robinson, Julia CFO Outreach Community Health Center 41496490162/7/2018 11:09 AM
ContactsPrimary ContactUpdateRecertificationPire, Tom Pharmacist Outreach Community Health Center 4149623750Pire, Tom Gerald Pharmacist Outreach Community Health Center 41496237502/7/2018 9:45 AM
ContactsPrimary ContactUpdate Pire, Tom Pharmacist 4149623750Pire, Tom Pharmacist Outreach Community Health Center 41496237509/20/2017 11:52 AM
ContactsPrimary ContactUpdate CARROLL, LEE N. EXECUTIVE DIRECTOR 4143742400-165Pire, Tom Pharmacist 41496237506/23/2017 4:28 PM
AddressesMain AddressInsert   210 W Capitol Dr Milwaukee, WI 53212-11232/3/2017 12:30 PM
ContactsAuthorizing OfficialUpdate Jenkins, William Executive Director 4149065306-102Jenkins, William Executive Director 4149065306-1022/3/2017 12:30 PM
DetailsLast Recertification DateUpdate 3/8/2016 12:00:00 AM2/3/2017 12:00:00 AM2/3/2017 12:30 PM
DetailsLast Recertification DateUpdate 2/10/2015 12:00:00 AM3/8/2016 12:00:00 AM3/8/2016 4:35 PM
AddressesBilling AddressInsert  Healthcare for the Homeless of Milwaukee 711 West Capitol Drive Milwaukee, WI 532063/6/2016 3:28 PM
ContactsAuthorizing OfficialUpdate CARROLL, LEE N. EXECUTIVE DIRECTOR 4143742400-165Jenkins, William Executive Director 4149065306-1022/10/2015 2:54 PM
DetailsLast Recertification DateUpdate 2/10/2014 12:00:00 AM2/10/2015 12:00:00 AM2/10/2015 2:54 PM
DetailsEntity NameUpdate HEALTH CARE FOR THE HOMELESS OF MILWAUKEE, INC.OUTREACH COMMUNITY HEALTH CENTERS, INC.3/31/2014 4:25 PM
DetailsEntity SubnameUpdate  Outreach Community Health Centers, Incorporated3/31/2014 4:25 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/10/2014 12:00:00 AM2/10/2014 2:05 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM3/15/2013 7:10 AM
ContactsAuthorizing OfficialInsert  CARROLL, LEE N. EXECUTIVE DIRECTOR 4143742400-1659/19/2011 5:19 PM
ContactsPrimary ContactInsert  CARROLL, LEE N. EXECUTIVE DIRECTOR 4143742400-1659/19/2011 5:19 PM
DatesParticipating Approval DateUpdate  9/19/2011 12:00:00 AM9/19/2011 5:19 PM
DetailsStateUpdate PendingActive9/19/2011 5:19 PM
DetailsLast Recertification DateInsert   9/16/2011 3:09 PM
DetailsGrant NumberInsert  H80CS000349/16/2011 3:09 PM
Details340B IDInsert  CH051920A9/16/2011 3:09 PM
DetailsIs Authorizing Official EHB DataInsert   9/16/2011 3:09 PM
DatesLast Date That 340B Drugs PurchasedInsert   9/16/2011 3:09 PM
DetailsMedicare Provider NumberInsert   9/16/2011 3:09 PM
DetailsEntity NameInsert  HEALTH CARE FOR THE HOMELESS OF MILWAUKEE, INC.9/16/2011 3:09 PM
DetailsProgram CodeInsert  CH9/16/2011 3:09 PM
DetailsEntity SubnameInsert   9/16/2011 3:09 PM
DatesParticipating Approval DateInsert   9/16/2011 3:09 PM
DetailsStateInsert  Pending9/16/2011 3:09 PM
DatesRegistration DateInsert  9/16/2011 12:00:00 AM9/16/2011 3:09 PM
DatesSigned By DateInsert   9/16/2011 3:09 PM
DatesStart DateInsert  10/1/2011 12:00:00 AM9/16/2011 3:09 PM
TerminationsTermination CommentsInsert   9/16/2011 3:09 PM
TerminationsTermination DateInsert   9/16/2011 3:09 PM
TerminationsTermination Effective DateInsert   9/16/2011 3:09 PM
TerminationsTermination ReasonInsert   9/16/2011 3:09 PM