Covered Entity Details

CHC24108-00 HEALTH PARTNERSHIP CLINIC INC (Active) - information as of 6/27/2025 5:57:55 AM

Main Details

Name

HEALTH PARTNERSHIP CLINIC INC

Subdivision Name

Health Partnership Clinic, Inc.

Type

HRSA-Funded Health Center

Site ID

BPS-H80-011643

340B ID

CHC24108-00

Grant Number

H80CS24108

Additional Details

Current Program Status

Active

Registration Date

7/11/2012

Participating Start Date

10/1/2012

Participating Approval Date

8/29/2012

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Health Partnership Clinic, Inc.
Amy Falk, CEO
(913) 433-7583

Primary Contact

Health Partnership Clinic, Inc.
Brenda McLaughlin, CFO
(913) 908-6982

Addresses

Street Address

407 S Clairborne Rd
STE 104
Olathe, KS 66062

Billing Address

HEALTH PARTNERSHIP CLINIC INC
407 S Clairborne Rd, STE 104
Olathe, KS 66062

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
KS	30003929790001	1265785232

Shipping Addresses

Shipping Address 1

HEALTH PARTNERSHIP CLINIC INC
407 S Clairborne Rd, STE 104
Olathe, KS 66062

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	AUBURN PHARMACY #130	AUBURN PHARMACY	311 N HOSPITAL DR	PAOLA	KS	66071	07/18/2017	10/01/2017		10/01/2017
Contract Detail	AUBURN PHARMACY#110	AUBURN PHARMACY	13351 MISSION RD	LEAWOOD	KS	66209-1753	04/06/2023	07/01/2023		07/01/2023
Contract Detail	AUBURN PHARMACY, INC.	AUBURN PHARMACY #155	429 N MAPLE ST	GARNETT	KS	66032	07/18/2017	10/01/2017		10/01/2017
Contract Detail	AUBURN PHARMACY, INC.	AUBURN PHARMACY	6 S METCALF RD	LOUISBURG	KS	66053	07/18/2017	10/01/2017		10/01/2017
Contract Detail	AUBURN PHARMACY, INC.	AUBURN PHARMACY #127	20375 W 151ST ST STE 100A	OLATHE	KS	66061	07/18/2017	10/01/2017		10/01/2017
Contract Detail	DILLON PHARMACY	2010 S.E. 29TH ST		TOPEKA	KS	66605	07/18/2017	10/01/2017	12/06/2017	07/23/2021
Contract Detail	DILLON PHARMACY #87	5311 SW 22ND PLACE		TOPEKA	KS	66614	07/18/2017	10/01/2017	12/06/2017	07/23/2021
Contract Detail	KRAMER PHARMACY	AUBURN PHARMACY INC	134 S MAIN ST	OTTAWA	KS	66067	08/15/2022	10/01/2022		10/01/2022
Contract Detail	THE KROGER CO., KS 113	1220 S. LIPAN STREET		DENVER	CO	80223	07/18/2017	10/01/2017	12/06/2017	07/23/2021
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/10/2018	10/01/2018	11/19/2024	12/17/2024
Contract Detail	WAL-MART PHARMACY 10-0242	310 HEDGE LANE		PAOLA	KS	66071	07/18/2017	10/01/2017	11/19/2024	12/17/2024
Contract Detail	WAL-MART PHARMACY 10-0382	2101 S PRINCETON ST		OTTAWA	KS	66067	01/07/2021	04/01/2021	11/19/2024	12/17/2024
Contract Detail	WAL-MART PHARMACY 10-0577	13600 SO. ALDEN STREET		OLATHE	KS	66062	07/18/2017	10/01/2017	11/19/2024	12/17/2024
Contract Detail	WAL-MART PHARMACY 10-1691	7701 FRONTAGE ROAD		OVERLAND PARK	KS	66204	07/17/2018	10/01/2018	01/31/2024	01/31/2024
Contract Detail	WAL-MART PHARMACY 10-4475	395 N. K 7 HWY		OLATHE	KS	66061	07/17/2018	10/01/2018	11/19/2024	12/17/2024
Contract Detail	WAL-MART PHARMACY 10-5307	1725 EAST SANTA FE ST		GARDNER	KS	66030	07/18/2017	10/01/2017	01/31/2024	01/31/2024
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/10/2018	10/01/2018	11/19/2024	12/17/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04183	545 E. SANTA FE ST	OLATHE	KS	66061	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06112	15066 W 151ST ST	OLATHE	KS	66062-3000	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04665	13450 S. BLACKBOB RD.	OLATHE	KS	66062	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10150	750 E MAIN STREET	GARDNER	KS	66030-1744	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12815	1453 E. 151ST ST	OLATHE	KS	66062	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04234	7500 METCALF AVE	OVERLAND PARK	KS	66204	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09424	12601 PFLUMM RD	OVERLAND PARK	KS	66213	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06920	8681 W 135TH ST	OVERLAND PARK	KS	66223-1215	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11370	9500 ANTIOCH RD	OVERLAND PARK	KS	66212	12/17/2012	01/01/2013	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS #11924	11830 W. 75TH ST	SHAWNEE	KS	66214	07/23/2014	10/01/2014	08/31/2016	10/28/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09376	1445 S MAIN STREET	OTTAWA	KS	66067-3528	10/07/2015	01/01/2016	11/30/2016	12/14/2016
Contract Detail	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	07/23/2014	10/01/2014	07/01/2015	10/28/2016
Contract Detail	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/23/2014	10/01/2014	07/01/2015	10/28/2016
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/13/2023	04/01/2023	11/19/2024	12/17/2024
Contract Detail	WALMART PHARMACY 10-6392	2630 SE CALIFORNIA AVENUE		TOPEKA	KS	66605	07/18/2017	10/01/2017	08/17/2018	01/13/2023
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/13/2023	01/01/2024	11/19/2024	12/17/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CHC24108-00	Active	BPS-H80-011643	HEALTH PARTNERSHIP CLINIC INC	Health Partnership Clinic, Inc.	407 S Clairborne Rd	STE 104	Olathe	KS
CHC24108-01	Terminated	BPS-H80-018527	HEALTH PARTNERSHIP CLINIC, INC	Health Partnership Clinic	9119 West 74th Street	Suite 210	Shawnee Mission	KS
CHC24108-02	Active	BPS-H80-015153	HEALTH PARTNERSHIP CLINIC, INC	Health Partnership Clinic, Miami County	1604 Industrial Park Drive		Paola	KS
CHC24108-03	Active	BPS-H80-018527	HEALTH PARTNERSHIP CLINIC, INC.	Health Partnership Clinic, Inc.	9119 West 74th Street Suite 210		Shawnee Mission	KS
CHC24108-04	Terminated	BPS-H80-017004	HEALTH PARTNERSHIP CLINIC, INC.	Health Partnership Clinic, Inc.	1418 South Main		Ottawa	KS
CHC24108-05	Active	BPS-H80-018942	HEALTH PARTNERSHIP CLINIC, INC.	Health Partnership Clinic, Inc.	107 South Main Street		Ottawa	KS

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC24108-01	APOTHECARE - NORTH PITTSBURG	COMMUNITY HEALTH CENTER OF SOUTHEAST KAN	3011 N MICHIGAN ST	PITTSBURG	KS	66762	01/01/2014	01/01/2017
CHC24108-00	AUBURN PHARMACY #130	AUBURN PHARMACY	311 N HOSPITAL DR	PAOLA	KS	66071	10/01/2017
CHC24108-05	AUBURN PHARMACY #130	AUBURN PHARMACY	311 N HOSPITAL DR	PAOLA	KS	66071	10/01/2017
CHC24108-02	AUBURN PHARMACY #130	AUBURN PHARMACY	311 N HOSPITAL DR	PAOLA	KS	66071	04/01/2024
CHC24108-00	AUBURN PHARMACY#110	AUBURN PHARMACY	13351 MISSION RD	LEAWOOD	KS	66209-1753	07/01/2023
CHC24108-00	AUBURN PHARMACY, INC.	AUBURN PHARMACY #155	429 N MAPLE ST	GARNETT	KS	66032	10/01/2017
CHC24108-00	AUBURN PHARMACY, INC.	AUBURN PHARMACY	6 S METCALF RD	LOUISBURG	KS	66053	10/01/2017
CHC24108-00	AUBURN PHARMACY, INC.	AUBURN PHARMACY #127	20375 W 151ST ST STE 100A	OLATHE	KS	66061	10/01/2017
CHC24108-05	AUBURN PHARMACY, INC.	AUBURN PHARMACY #155	429 N MAPLE ST	GARNETT	KS	66032	10/01/2017
CHC24108-05	AUBURN PHARMACY, INC.	AUBURN PHARMACY	6 S METCALF RD	LOUISBURG	KS	66053	10/01/2017
CHC24108-05	AUBURN PHARMACY, INC.	AUBURN PHARMACY #127	20375 W 151ST ST STE 100A	OLATHE	KS	66061	10/01/2017
CHC24108-01	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD N STE 1400		ST PETERSBURG	FL	33716	04/01/2016	01/01/2017
CHC24108-01	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	04/01/2016	01/01/2017
CHC24108-00	DILLON PHARMACY	2010 S.E. 29TH ST		TOPEKA	KS	66605	10/01/2017	12/06/2017
CHC24108-05	DILLON PHARMACY	2010 S.E. 29TH ST		TOPEKA	KS	66605	10/01/2017	12/01/2024
CHC24108-00	DILLON PHARMACY #87	5311 SW 22ND PLACE		TOPEKA	KS	66614	10/01/2017	12/06/2017
CHC24108-05	DILLON PHARMACY #87	5311 SW 22ND PLACE		TOPEKA	KS	66614	10/01/2017	12/01/2024
CHC24108-00	KRAMER PHARMACY	AUBURN PHARMACY INC	134 S MAIN ST	OTTAWA	KS	66067	10/01/2022
CHC24108-05	KRAMER PHARMACY	AUBURN PHARMACY INC	134 S MAIN ST	OTTAWA	KS	66067	04/01/2024
CHC24108-00	THE KROGER CO., KS 113	1220 S. LIPAN STREET		DENVER	CO	80223	10/01/2017	12/06/2017
CHC24108-05	THE KROGER CO., KS 113	1220 S. LIPAN STREET		DENVER	CO	80223	10/01/2017	12/01/2024
CHC24108-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2018	11/19/2024
CHC24108-00	WAL-MART PHARMACY 10-0242	310 HEDGE LANE		PAOLA	KS	66071	10/01/2017	11/19/2024
CHC24108-05	WAL-MART PHARMACY 10-0242	310 HEDGE LANE		PAOLA	KS	66071	10/01/2017	12/01/2024
CHC24108-00	WAL-MART PHARMACY 10-0382	2101 S PRINCETON ST		OTTAWA	KS	66067	04/01/2021	11/19/2024
CHC24108-00	WAL-MART PHARMACY 10-0577	13600 SO. ALDEN STREET		OLATHE	KS	66062	10/01/2017	11/19/2024
CHC24108-05	WAL-MART PHARMACY 10-0577	13600 SO. ALDEN STREET		OLATHE	KS	66062	10/01/2017	12/01/2024
CHC24108-00	WAL-MART PHARMACY 10-1691	7701 FRONTAGE ROAD		OVERLAND PARK	KS	66204	10/01/2018	01/31/2024
CHC24108-00	WAL-MART PHARMACY 10-4475	395 N. K 7 HWY		OLATHE	KS	66061	10/01/2018	11/19/2024
CHC24108-00	WAL-MART PHARMACY 10-5307	1725 EAST SANTA FE ST		GARDNER	KS	66030	10/01/2017	01/31/2024
CHC24108-05	WAL-MART PHARMACY 10-5307	1725 EAST SANTA FE ST		GARDNER	KS	66030	10/01/2017	01/01/2025
CHC24108-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2018	11/19/2024
CHC24108-00	WALGREEN CO.	DBA: WALGREENS # 04183	545 E. SANTA FE ST	OLATHE	KS	66061	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS # 06112	15066 W 151ST ST	OLATHE	KS	66062-3000	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS # 04665	13450 S. BLACKBOB RD.	OLATHE	KS	66062	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS # 10150	750 E MAIN STREET	GARDNER	KS	66030-1744	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS #12815	1453 E. 151ST ST	OLATHE	KS	66062	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS # 04234	7500 METCALF AVE	OVERLAND PARK	KS	66204	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS # 09424	12601 PFLUMM RD	OVERLAND PARK	KS	66213	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS # 06920	8681 W 135TH ST	OVERLAND PARK	KS	66223-1215	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS #11370	9500 ANTIOCH RD	OVERLAND PARK	KS	66212	01/01/2013	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS #11924	11830 W. 75TH ST	SHAWNEE	KS	66214	10/01/2014	08/31/2016
CHC24108-00	WALGREEN CO.	DBA: WALGREENS # 09376	1445 S MAIN STREET	OTTAWA	KS	66067-3528	01/01/2016	11/30/2016
CHC24108-00	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	10/01/2014	07/01/2015
CHC24108-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	10/01/2014	07/01/2015
CHC24108-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023	11/19/2024
CHC24108-00	WALMART PHARMACY 10-6392	2630 SE CALIFORNIA AVENUE		TOPEKA	KS	66605	10/01/2017	08/17/2018
CHC24108-05	WALMART PHARMACY 10-6392	2630 SE CALIFORNIA AVENUE		TOPEKA	KS	66605	10/01/2017	12/01/2024
CHC24108-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024	11/19/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/31/2024 10:33:35 AM	2/10/2025 9:56:53 AM	2/10/2025 9:56 AM
Details	Last Recertification Date	Update	Recertification	1/30/2023 10:01:16 AM	1/31/2024 10:33:35 AM	1/31/2024 10:33 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/3/2023 4:05 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		30003929790001	3/3/2023 4:05 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		KS	3/3/2023 4:05 PM
Medicaid Billing	Medicaid: Number	Delete	Change Request	200852450A (KS)		3/3/2023 4:05 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1265785232	3/3/2023 4:05 PM
Medicaid Billing	NPI: State	Insert	Change Request		KS	3/3/2023 4:05 PM
Details	Last Recertification Date	Update	Recertification	2/4/2022 4:04:49 PM	1/30/2023 10:01:16 AM	1/30/2023 10:01 AM
Contacts	Authorizing Official	Update	Profile Change Request	Falk, Amy CEO Health Partnership Clinic, Inc. 9136482266	Falk, Amy CEO Health Partnership Clinic, Inc. 9134337583	12/20/2022 11:06 AM
Details	Last Recertification Date	Update	Recertification	2/4/2021 11:34:04 AM	2/4/2022 4:04:49 PM	2/4/2022 4:04 PM
Details	Last Recertification Date	Update	Recertification	1/30/2020 10:28:38 AM	2/4/2021 11:34:04 AM	2/4/2021 11:34 AM
Details	Last Recertification Date	Update	Recertification	2/1/2019 9:34:32 AM	1/30/2020 10:28:38 AM	1/30/2020 10:28 AM
Details	Last Recertification Date	Update	Recertification	2/8/2018 12:47:17 PM	2/1/2019 9:34:32 AM	2/1/2019 9:34 AM
Details	Last Recertification Date	Update	Recertification	2/8/2017 12:00:00 AM	2/8/2018 12:47:17 PM	2/8/2018 12:47 PM
Contacts	Primary Contact	Update	Change Request	Jackson, Nathan COO 9137303659	McLaughlin, Brenda CFO Health Partnership Clinic, Inc. 9139086982	11/28/2017 10:47 AM
Addresses	Main Address	Update	OPA Edit	407 S Clairborne Rd STE 104 Olathe, KS 66062-2283	407 S Clairborne Rd STE 104 Olathe, KS 66062	10/10/2017 11:26 AM
Addresses	Main Address	Update	OPA Edit	407 S Clairborne Rd STE 104 Olathe, KS 66212-2283	407 S Clairborne Rd STE 104 Olathe, KS 66062-2283	10/10/2017 11:25 AM
Addresses	Shipping Address	Insert	Change Request		HEALTH PARTNERSHIP CLINIC INC 407 S Clairborne Rd, STE 104 Olathe, KS 66062	10/4/2017 7:53 AM
Addresses	Billing Address	Insert	Change Request		HEALTH PARTNERSHIP CLINIC INC 407 S Clairborne Rd, STE 104 Olathe, KS 66062	10/2/2017 4:58 PM
Contacts	Authorizing Official	Update	AO Change Request	Jackson, Nathan COO 9137303659	Falk, Amy CEO Health Partnership Clinic, Inc. 9136482266	10/2/2017 7:55 AM
Contacts	Signed By	Insert			Wesco, Jason CEO 9134337583	2/13/2017 11:08 AM
Addresses	Main Address	Insert			407 S Clairborne Rd STE 104 Olathe, KS 66212-2283	2/8/2017 5:06 PM
Details	Last Recertification Date	Update		3/1/2016 12:00:00 AM	2/8/2017 12:00:00 AM	2/8/2017 5:06 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	11/21/2016 1:51 PM
Medicaid Billing	Medicaid: Number	Insert			200852450A	11/21/2016 1:51 PM
Medicaid Billing	Medicaid: State	Insert			KS	11/21/2016 1:51 PM
Details	Entity Name	Update		HEALTH PARTNERSHIP CLINIC, INC	HEALTH PARTNERSHIP CLINIC INC	10/28/2016 9:54 AM
Details	Entity Name	Update		HEALTH PARTNERSHIP CLINIC INC	HEALTH PARTNERSHIP CLINIC, INC	10/28/2016 9:53 AM
Contacts	Authorizing Official	Insert			Jackson, Nathan COO 9137303659	3/1/2016 1:48 PM
Contacts	Primary Contact	Insert			Jackson, Nathan COO 9137303659	3/1/2016 1:48 PM
Details	Last Recertification Date	Update		2/10/2015 12:00:00 AM	3/1/2016 12:00:00 AM	3/1/2016 1:48 PM
Details	Entity Name	Update		HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY INC	HEALTH PARTNERSHIP CLINIC INC	2/8/2016 8:05 AM
Details	Last Recertification Date	Update		2/10/2014 12:00:00 AM	2/10/2015 12:00:00 AM	2/10/2015 3:36 PM
Details	Entity Name	Update		Health Partnership Clinic, Inc	HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY INC	3/31/2014 4:25 PM
Details	Entity Subname	Update			Health Partnership Clinic, Inc.	3/31/2014 4:25 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	2/10/2014 12:00:00 AM	2/10/2014 12:20 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/4/2013 7:43 AM
Details	340B ID	Update		IS-FF-CHC24108-00	CHC24108-00	8/29/2012 1:41 PM
Dates	Participating Approval Date	Update			8/29/2012 12:00:00 AM	8/29/2012 1:41 PM
Details	State	Update		Pending	Active	8/29/2012 1:41 PM
Dates	Start Date	Update			10/1/2012 12:00:00 AM	8/29/2012 1:41 PM
Details	Grant Number	Update		H80CS24108-01-00	H80CS24108	8/17/2012 3:54 PM
Details	340B ID	Update		FF- 8.6.12 ONLINE_REG	IS-FF-CHC24108-00	8/17/2012 3:54 PM
Details	340B ID	Update		ONLINE_REG	FF- 8.6.12 ONLINE_REG	8/10/2012 4:19 PM
Details	Last Recertification Date	Insert				7/11/2012 5:16 PM
Details	Grant Number	Insert			H80CS24108-01-00	7/11/2012 5:16 PM
Details	340B ID	Insert			ONLINE_REG	7/11/2012 5:16 PM
Details	Is Authorizing Official EHB Data	Insert				7/11/2012 5:16 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/11/2012 5:16 PM
Details	Medicare Provider Number	Insert				7/11/2012 5:16 PM
Details	Entity Name	Insert			Health Partnership Clinic, Inc	7/11/2012 5:16 PM
Details	Program Code	Insert			CH	7/11/2012 5:16 PM
Details	Entity Subname	Insert				7/11/2012 5:16 PM
Dates	Participating Approval Date	Insert				7/11/2012 5:16 PM
Details	State	Insert			Pending	7/11/2012 5:16 PM
Dates	Registration Date	Insert			7/11/2012 12:00:00 AM	7/11/2012 5:16 PM
Dates	Signed By Date	Insert			7/11/2012 12:00:00 AM	7/11/2012 5:16 PM
Dates	Start Date	Insert				7/11/2012 5:16 PM
Terminations	Termination Comments	Insert				7/11/2012 5:16 PM
Terminations	Termination Date	Insert				7/11/2012 5:16 PM
Terminations	Termination Effective Date	Insert				7/11/2012 5:16 PM
Terminations	Termination Reason	Insert				7/11/2012 5:16 PM

340B Drug Pricing Program Database