340B Drug Pricing Program Database


CH04807B COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC. (Active) - information as of 6/5/2025 2:37:41 PM

Main Details
COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.
Logan County Community Health Center
HRSA-Funded Health Center
BPS-H80-017091
CH04807B
H80CS00562


Additional Details
Active
7/24/2012
10/1/2012
8/29/2012
2/13/2025

Contacts

Community Health Centers of Western Kentucky, Inc.
Roger Arbuckle, CEO
(270) 338-5777

Community Health Centers of Western Kentucky
Lindsay Durall, Chief Financial Officer
(270) 338-5777

Addresses

1497 Nashville Street
Russellville, KY 42276-8850

Community Health Centers of Western Kentucky, Inc.
480 Hopkinsville Street
Greenville, KY 42345


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
KY310004581497302723
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailWalgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811804/12/202207/01/2022  07/01/2022
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH048070ActiveBPS-H80-001621COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.CHCS OF WESTERN KENTUCKY, INC.480 HOPKINSVILLE ST, GREENVILLEKY
CH04807AActiveBPS-H80-002084COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.WOMAN'S HEALTH CENTER226 Hopkinsville St GreenvilleKY
CH04807BActiveBPS-H80-017091COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.Logan County Community Health Center1497 Nashville Street RussellvilleKY
CH04807CActiveBPS-H80-008607COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.CHCs OF WESTERN KENTUCKY PEDIATRIC AND ADOLESCENT MEDICINE504 Hopkinsville St GreenvilleKY
CH04807DActiveBPS-H80-019004Community Health Centers Of Western Kentucky, Inc.CHCWK - Todd County Site10220 Dixie Beeline Highway GuthrieKY
CH04807EActiveBPS-H80-033725COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INCCHCWK - 228 Hopkinsville Street228 Hopkinsville St GreenvilleKY
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH048070CLINIC PHARMACY203 N 2ND ST
CENTRAL CITYKY42330-120510/01/2014  
CH048070CLINIC PHARMACY SOUTH3959 US HIGHWAY 431 S
BEECHMONTKY42323-393710/01/2014  
CH048070GREENVILLE PHARMACY117 N MAIN ST
GREENVILLEKY42345-290210/29/2009  
CH04807AGREENVILLE PHARMACY117 N MAIN ST
GREENVILLEKY42345-290211/02/2009  
CH048070MADISONVILLE PHARMACY INC200 CLINIC DR STE 101
MADISONVILLEKY42431-166110/01/2014 11/01/2018
CH048070MEDICAL CENTER PHARMACY1010 MEDICAL CENTER DR
POWDERLYKY4236710/01/2014  
CH048070RILEY-WHITE DRUG STORE153 NW PARK SQ
RUSSELLVILLEKY42276-133501/01/2016  
CH048070WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/01/2020  
CH048070WAL-MART PHARMACY 10-02941725 W EVERLY BROTHERS BLVD
CENTRAL CITYKY4233010/01/2023  
CH048070WAL-MART PHARMACY 10-0736120 SAM WALTON DRIVE
RUSSELLVILLEKY4227607/01/2017  
CH048070WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/01/2020  
CH048070WALGREEN CODBA: WALGREENS #11168 485 W. 4TH ST.
RUSSELLVILLEKY42276-142504/01/2017  
CH048070WALGREEN CO.WALGREENS #17956 201 S MAIN ST
GREENVILLEKY4234507/01/2018  
CH04807CWalgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811807/01/2022  
CH04807BWalgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811807/01/2022  
CH048070Walgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811807/01/2022  
CH04807DWalgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811807/01/2022  
CH04807AWalgreens #21389Walgreens Central Fill #21389 3299 Tchulatech Dr
Suite 101 		MemphisTN3811807/01/2022  
CH048070WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275610/01/2023  
CH048070Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH048070WHITLEY'S PHARMACY501 N MAIN ST
RUSSELLVILLEKY42276-163605/07/2012 10/01/2015
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/16/2024 10:05:46 AM2/13/2025 9:02:36 PM2/13/2025 9:02 PM
DetailsLast Recertification DateUpdateRecertification2/10/2023 11:24:45 AM2/16/2024 10:05:46 AM2/16/2024 10:05 AM
DetailsLast Recertification DateUpdateRecertification2/2/2022 10:33:01 AM2/10/2023 11:24:45 AM2/10/2023 11:24 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False3/9/2022 3:24 PM
Medicaid BillingMedicaid: NumberInsertChange Request 310004583/9/2022 3:24 PM
Medicaid BillingMedicaid: StateInsertChange Request KY3/9/2022 3:24 PM
Medicaid BillingNPI: NumberInsertChange Request 14973027233/9/2022 3:24 PM
Medicaid BillingNPI: StateInsertChange Request KY3/9/2022 3:24 PM
ContactsPrimary ContactUpdateRecertificationSwab, Joseph Allen CFO Community Health Centers of Western Kentucky 2703385777-1025Durall, Lindsay Chief Financial Officer Community Health Centers of Western Kentucky 27033857772/2/2022 10:33 AM
DetailsLast Recertification DateUpdateRecertification2/4/2021 8:55:21 AM2/2/2022 10:33:01 AM2/2/2022 10:33 AM
Medicaid BillingMedicaid: NumberDeleteRecertification31000458 (KY) 2/4/2021 8:55 AM
Medicaid BillingNPI: NumberDeleteRecertification1497302723 ( ) 2/4/2021 8:55 AM
Medicaid BillingNPI: NumberDeleteRecertification1306848650 ( ) 2/4/2021 8:55 AM
DetailsLast Recertification DateUpdateRecertification2/3/2020 9:49:34 AM2/4/2021 8:55:21 AM2/4/2021 8:55 AM
DetailsLast Recertification DateUpdateRecertification1/29/2019 9:24:02 AM2/3/2020 9:49:34 AM2/3/2020 9:49 AM
AddressesBilling AddressInsertChange Request Community Health Centers of Western Kentucky, Inc. 480 Hopkinsville Street Greenville, KY 423458/26/2019 10:10 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False8/26/2019 10:10 AM
Medicaid BillingMedicaid: NumberInsertChange Request 310004588/26/2019 10:10 AM
Medicaid BillingMedicaid: StateInsertChange Request KY8/26/2019 10:10 AM
Medicaid BillingNPI: NumberInsertChange Request 14973027238/26/2019 10:10 AM
Medicaid BillingNPI: NumberInsertChange Request 13068486508/26/2019 10:10 AM
ContactsPrimary ContactUpdateChange RequestSwab, Joseph CFO Community Health Centers of Western Kentucky 2703385777Swab, Joseph Allen CFO Community Health Centers of Western Kentucky 2703385777-10258/22/2019 3:21 PM
ContactsPrimary ContactUpdateRecertificationAtherton, Gary Accountant/RN CH048070 2703385777Swab, Joseph CFO Community Health Centers of Western Kentucky 27033857771/29/2019 9:24 AM
DetailsLast Recertification DateUpdateRecertification2/12/2018 2:09:50 PM1/29/2019 9:24:02 AM1/29/2019 9:24 AM
DetailsLast Recertification DateUpdateRecertification2/1/2017 12:00:00 AM2/12/2018 2:09:50 PM2/12/2018 2:09 PM
ContactsAuthorizing OfficialUpdate Arbuckle, Roger CEO 2703385777Arbuckle, Roger CEO Community Health Centers of Western Kentucky, Inc. 27033857772/12/2018 2:07 PM
ContactsSigned ByUpdate Arbuckle, Roger CEO 2703385777Arbuckle, Roger CEO Community Health Centers of Western Kentucky, Inc. 27033857772/12/2018 2:07 PM
ContactsPrimary ContactUpdate Atherton, Gary Accountant/RN 2703385777Atherton, Gary Accountant/RN CH048070 27033857771/8/2018 1:28 PM
ContactsAuthorizing OfficialInsert  Arbuckle, Roger CEO 27033857777/19/2017 10:01 AM
ContactsSigned ByInsert  Arbuckle, Roger CEO 27033857777/19/2017 10:01 AM
AddressesMain AddressInsert   1497 Nashville Street Russellville, KY 42276-88506/29/2017 6:17 PM
ContactsPrimary ContactInsert  Atherton, Gary Accountant/RN 27033857776/29/2017 6:17 PM
DetailsLast Recertification DateUpdate 2/12/2016 12:00:00 AM2/1/2017 12:00:00 AM2/1/2017 2:24 PM
DetailsLast Recertification DateUpdate 1/28/2015 12:00:00 AM2/12/2016 12:00:00 AM2/12/2016 9:58 AM
DetailsLast Recertification DateUpdate 2/10/2014 12:00:00 AM1/28/2015 12:00:00 AM1/28/2015 10:12 AM
DetailsEntity NameUpdate CHCS OF WESTERN KENTUCKY, INC.COMMUNITY HEALTH CENTERS OF WESTERN KENTUCKY, INC.3/31/2014 4:25 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/10/2014 12:00:00 AM2/10/2014 11:04 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/27/2013 3:22 PM
DetailsEntity NameUpdate Community Health Centers of Western Ky., Inc.CHCS OF WESTERN KENTUCKY, INC.9/25/2012 3:25 PM
Details340B IDUpdate IS-FF-CH04807BCH04807B8/29/2012 5:43 PM
DatesParticipating Approval DateUpdate  8/29/2012 12:00:00 AM8/29/2012 5:43 PM
DetailsStateUpdate PendingActive8/29/2012 5:43 PM
DatesStart DateUpdate  10/1/2012 12:00:00 AM8/29/2012 5:43 PM
Details340B IDUpdate ONLINE_REGIS-FF-CH04807B8/17/2012 4:11 PM
DetailsEntity SubnameUpdate Community Health Centers of Western Ky., Inc.Logan County Community Health Center8/17/2012 4:11 PM
DetailsLast Recertification DateInsert   7/24/2012 3:35 PM
DetailsGrant NumberInsert  H80CS005627/24/2012 3:35 PM
Details340B IDInsert  ONLINE_REG7/24/2012 3:35 PM
DetailsIs Authorizing Official EHB DataInsert   7/24/2012 3:35 PM
DatesLast Date That 340B Drugs PurchasedInsert   7/24/2012 3:35 PM
DetailsMedicare Provider NumberInsert   7/24/2012 3:35 PM
DetailsEntity NameInsert  Community Health Centers of Western Ky., Inc.7/24/2012 3:35 PM
DetailsProgram CodeInsert  CH7/24/2012 3:35 PM
DetailsEntity SubnameInsert  Community Health Centers of Western Ky., Inc.7/24/2012 3:35 PM
DatesParticipating Approval DateInsert   7/24/2012 3:35 PM
DetailsStateInsert  Pending7/24/2012 3:35 PM
DatesRegistration DateInsert  7/24/2012 12:00:00 AM7/24/2012 3:35 PM
DatesSigned By DateInsert  7/24/2012 12:00:00 AM7/24/2012 3:35 PM
DatesStart DateInsert   7/24/2012 3:35 PM
TerminationsTermination CommentsInsert   7/24/2012 3:35 PM
TerminationsTermination DateInsert   7/24/2012 3:35 PM
TerminationsTermination Effective DateInsert   7/24/2012 3:35 PM
TerminationsTermination ReasonInsert   7/24/2012 3:35 PM