340B Drug Pricing Program Database


CH044251B CHOTA COMMUNITY HEALTH SERVICES (Active) - information as of 6/28/2025 12:19:45 AM

Main Details
CHOTA COMMUNITY HEALTH SERVICES
CHOTA COMMUNITY HEALTH SERVICES
HRSA-Funded Health Center
BPS-H80-038658
CH044251B
H80CS06461


Additional Details
Active
10/14/2012
1/1/2013
11/16/2012
2/20/2025

Contacts

Chota Community Health Services
Laura Harris, CEO
(423) 442-7268

Chota Community Health Services
Melissa Gray, CFO
(423) 442-7268

Addresses

145 Fifth Street
Tellico Plains, TN 37385

Chota Community Health Services
P.O. Box 278
Madisonville, TN 37354


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
11/5/12 - Reviewed registration and forwarded to IS for approval.11/05/2012
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
TNq048884,q068863,1533150,Q077913,q021915,q006821,q022291,1510012,1521788,1507391,1506985,Q023981,q0001171518912955,1548427586,1801834221,1578051496,1649540840
Shipping Addresses

Same as Street Address
Contract Pharmacies
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH0442510ActiveBPS-H80-002001CHOTA COMMUNITY HEALTH SERVICESCHOTA COMMUNITY HEALTH SERVICES1206 US Highway 411 VONORETN
CH044251AActiveBPS-H80-014841CHOTA COMMUNITY HEALTH SERVICESChota Community Health Services4798 New Highway 68 MadisonvilleTN
CH044251BActiveBPS-H80-038658CHOTA COMMUNITY HEALTH SERVICESCHOTA COMMUNITY HEALTH SERVICES145 Fifth Street Tellico PlainsTN
CH044251CActiveBPS-H80-007403CHOTA COMMUNITY HEALTH SERVICESTELLICO PLAINS HIGH SCHOOL9180 NEW HIGHWAY 68 TELLICO PLAINSTN
CH044251DActiveBPS-H80-007375CHOTA COMMUNITY HEALTH SERVICESTELLICO PLAINS ELEMENTARY SCHOOL121 OLD HIGH SCHOOL Road TELLICO PLAINSTN
CH044251EActiveBPS-H80-006712CHOTA COMMUNITY HEALTH SERVICESVONORE ELEMENTARY SCHOOL1135 HIGHWAY 411 VONORETN
CH044251FActiveBPS-H80-006675CHOTA COMMUNITY HEALTH SERVICESSWEETWATER HIGH SCHOOL414 SOUTH HIGH STREET SWEETWATERTN
CH044251GActiveBPS-H80-006380CHOTA COMMUNITY HEALTH SERVICESVonore Middle School414 Hall St VonoreTN
CH044251HActiveBPS-H80-005734CHOTA COMMUNITY HEALTH SERVICESSEQUOYAH HIGH SCHOOL3128 HIGHWAY 411 MADISONVILLETN
CH044251JActiveBPS-H80-005705CHOTA COMMUNITY HEALTH SERVICESMADISONVILLE MIDDLE SCHOOL175 Oak Grove Road MADISONVILLETN
CH044251KActiveBPS-H80-013472CHOTA COMMUNITY HEALTH SERVICESRural Vale Elementary School395 Daugherty Spring Rd Tellico PlainsTN
CH044251LActiveBPS-H80-013467CHOTA COMMUNITY HEALTH SERVICESCoker Creek Elementary School130 Ruritan Rd Tellico PlainsTN
CH044251MActiveBPS-H80-014041CHOTA COMMUNITY HEALTH SERVICESMadisonville Primary School268 Warren St MadisonvilleTN
CH044251NActiveBPS-H80-014042CHOTA COMMUNITY HEALTH SERVICESTellico Plains Junior High School120 Old High School Rd Tellico PlainsTN
CH044251PActiveBPS-H80-014039CHOTA COMMUNITY HEALTH SERVICESMadisonville Intermediate School1000 GREEN RD MADISONVILLETN
CH044251QActiveBPS-H80-035638CHOTA COMMUNITY HEALTH SERVICESMobile Medical Unit4798 New Highway 68 MadisonvilleTN
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH0442510ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280904/01/2024  
CH0442510CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361404/01/2023  
CH0442510CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/01/2023  
CH0442510CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/01/2023  
CH0442510CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175704/01/2023  
CH0442510CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808304/01/2023  
CH0442510CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/01/2023  
CH0442510CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761704/01/2023  
CH0442510CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/01/2023  
CH0442510CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237404/01/2023  
CH0442510CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911904/01/2023  
CH0442510CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2023  
CH0442510CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2023  
CH0442510CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/01/2023  
CH0442510CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503301/01/2024  
CH0442510FOOD CITY PHARMACY #6202120 HIGHWAY 411
VONORETN37885-222010/01/2017  
CH044251HFOOD CITY PHARMACY #6202120 HIGHWAY 411
VONORETN37885-222003/10/2023  
CH0442510HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05157 1300 SW ST LUCIE BLVD
PORT SAINT LUCIEFL3498601/01/2025 10/24/2024
CH0442510IDEAL DRUG CODBA LITTLE DRUGS 510 SOUTH MAIN STREET
SWEETWATERTN3787401/01/2013 02/01/2023
CH0442510OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2025  
CH0442510OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850701/01/2025  
CH0442510OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/01/2025  
CH0442510OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824901/01/2025  
CH0442510OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729801/01/2025  
CH0442510OPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970501/01/2025  
CH0442510OPTUM PHARMACY 705, LLC1893 GENERAL GEORGE PATTON DR STE 106
FRANKLINTN37067-265501/01/2025  
CH0442510PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/01/2023  
CH0442510PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523304/01/2023  
CH0442510PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681304/01/2023  
CH0442510PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920304/01/2023  
CH0442510SWEETWATER WORX LLCDBA WIL-SAV DRUGS OF SWEETWATER 800 NEW HWY 68
SWEETWATERTN3787404/01/2016 06/30/2020
CH0442510TELLICO FAMILY WELLNESS CTR.707 VETERANS MEMORIAL DR
TELLICO PLAINSTN37385-484401/01/2013  
CH044251BTELLICO FAMILY WELLNESS CTR.707 VETERANS MEMORIAL DR
TELLICO PLAINSTN37385-484403/10/2023  
CH0442510TENNESSEE CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07685 9170 HWY 68
TELLICO PLAINSTN3738507/01/2017  
CH0442510TENNESSEE CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05668 4515 HWY 411
MADISONVILLETN3735407/01/2017  
CH044251ATENNESSEE CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07685 9170 HWY 68
TELLICO PLAINSTN3738503/10/2023  
CH0442510TENNESSEE CVS PHARMACY, L.L.C.CVS PHARMACY # 16598 800 WATKINS RD
MARYVILLETN3780110/01/2024  
CH0442510TENNESSEE CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05601 570 HIGHWAY 321 NORTH
LENOIR CITYTN3777104/01/2025  
CH0442510VONORE DRUG FAMILY WELLNESS CENTER, INC.1121 HIGHWAY 411
VONORETN3788507/31/2013  
CH044251CVONORE DRUG FAMILY WELLNESS CENTER, INC.1121 HIGHWAY 411
VONORETN3788503/10/2023  
CH0442510WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH0442510WAL-MART PHARMACY 10-03664525 HWY 411
MADISONVILLETN3735404/01/2014  
CH044251DWAL-MART PHARMACY 10-03664525 HWY 411
MADISONVILLETN3735403/10/2023  
CH0442510WAL-MART PHARMACY 10-42232410 US HIGHWAY 411 S
MARYVILLETN3780110/01/2021  
CH044251JWAL-MART PHARMACY 10-42232410 US HIGHWAY 411 S
MARYVILLETN3780103/10/2023  
CH0442510WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH0442510WALGREEN CO.DBA: WALGREENS # 05790 1302 S CONGRESS PARKWAY
ATHENSTN3730301/01/2014  
CH0442510WALGREEN CO.DBA: WALGREENS #10066 929 NEW HWY. 68
SWEETWATERTN37874-272601/01/2014  
CH0442510WALGREEN CO.DBA: WALGREENS # 10164 4440 HIGHWAY411
MADISONVILLETN37354-156301/01/2014  
CH0442510WALGREEN CO.DBA: WALGREENS # 09522 805 W MADISON AVE
ATHENSTN37303-342901/01/2015  
CH044251GWALGREEN CO.DBA: WALGREENS # 10164 4440 HIGHWAY411
MADISONVILLETN37354-156303/10/2023  
CH044251FWALGREEN CO.DBA: WALGREENS #10066 929 NEW HWY. 68
SWEETWATERTN37874-272603/10/2023  
CH0442510WALGREEN CO.DBA: WALGREENS #11699 2409 US HWY. 411 S
MARYVILLETN3780110/01/2024  
CH0442510WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528401/01/2014 06/24/2015
CH0442510WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818801/01/2024 04/09/2025
CH0442510WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503301/01/2024  
CH0442510WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527501/01/2024  
CH0442510WALMART PHARMACY #10-4166935 STATE HWY 11 SOUTH
SWEETWATERTN3787410/01/2021  
CH044251EWALMART PHARMACY #10-4166935 STATE HWY 11 SOUTH
SWEETWATERTN3787403/10/2023  
CH0442510WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
CH0442510Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH0442510WIL-SAV4249 HWY 411 N UNIT 5
MADISONVILLETN3735401/01/2013 09/24/2020
CH0442510WIL-SAVJONES & JOSLIN, PLLC 4249 HIGHWAY 411 STE 5
MADISONVILLETN37354-154409/24/2020 02/01/2023
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingNPI: NumberDeleteGroup Change Request1407893852 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1730564113 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1811930308 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1841614815 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1760413678 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1275152563 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1003947128 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1245273796 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1891274791 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1720172687 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1619123676 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1457712424 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1053763060 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1881823136 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1508587908 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1457584625 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1033790613 (TN) 6/13/2025 9:57 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 16495408406/13/2025 9:57 AM
Medicaid BillingNPI: StateInsertGroup Change Request TN6/13/2025 9:57 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 15780514964/15/2025 11:06 AM
Medicaid BillingNPI: StateInsertGroup Change Request TN4/15/2025 11:06 AM
DetailsLast Recertification DateUpdateRecertification2/5/2024 11:08:10 AM2/20/2025 10:05:01 AM2/20/2025 10:05 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 103379061310/22/2024 8:47 AM
Medicaid BillingNPI: StateInsertGroup Change Request TN10/22/2024 8:47 AM
AddressesMain AddressUpdateChange Request 412 Hunt St Tellico Plains, TN 37385-5046 145 Fifth Street Tellico Plains, TN 373859/30/2024 9:32 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1265115950 (TN) 6/18/2024 9:58 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1396146486 (TN) 6/18/2024 9:58 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 14575846254/3/2024 12:35 PM
Medicaid BillingNPI: StateInsertGroup Change Request TN4/3/2024 12:35 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 13961464863/26/2024 6:25 AM
Medicaid BillingNPI: StateInsertGroup Change Request TN3/26/2024 6:25 AM
Medicaid BillingMedicaid: NumberDeleteGroup Change RequestQ068045 (TN) 2/9/2024 4:54 PM
Medicaid BillingNPI: NumberDeleteGroup Change Request1437722337 (TN) 2/9/2024 4:54 PM
DetailsLast Recertification DateUpdateRecertification2/22/2023 10:57:47 AM2/5/2024 11:08:10 AM2/5/2024 11:08 AM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False1/22/2024 11:13 AM
Medicaid BillingMedicaid: NumberInsertGroup Change Request Q0680451/22/2024 11:13 AM
Medicaid BillingMedicaid: StateInsertGroup Change Request TN1/22/2024 11:13 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 14377223371/22/2024 11:13 AM
Medicaid BillingNPI: StateInsertGroup Change Request TN1/22/2024 11:13 AM
Medicaid BillingMedicaid: NumberDeleteGroup Change RequestQ034003 (TN) 11/27/2023 12:17 PM
Medicaid BillingNPI: NumberDeleteGroup Change Request1407307531 (TN) 11/27/2023 12:17 PM
Medicaid BillingMedicaid: NumberDeleteGroup Change Requestq051123 (TN) 10/24/2023 12:12 PM
Medicaid BillingNPI: NumberDeleteGroup Change Request1043870157 (TN) 10/24/2023 12:12 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 12651159508/21/2023 12:30 PM
Medicaid BillingNPI: StateInsertGroup Change Request TN8/21/2023 12:30 PM
Medicaid BillingMedicaid: NumberDeleteGroup Change Requestq045381 (TN) 7/26/2023 9:52 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1730569716 (TN) 7/26/2023 9:52 AM
Medicaid BillingMedicaid: NumberDeleteGroup Change Requestq079782 (TN) 4/5/2023 3:47 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False3/17/2023 9:21 AM
Medicaid BillingMedicaid: NumberInsertGroup Change Request Q0340033/17/2023 9:21 AM
Medicaid BillingMedicaid: StateInsertGroup Change Request TN3/17/2023 9:21 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 14073075313/17/2023 9:21 AM
Medicaid BillingNPI: StateInsertGroup Change Request TN3/17/2023 9:21 AM
DetailsLast Recertification DateUpdateRecertification2/1/2022 12:44:08 PM2/22/2023 10:57:47 AM2/22/2023 10:57 AM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False1/26/2023 1:16 PM
Medicaid BillingMedicaid: NumberInsertGroup Change Request q0797821/26/2023 1:16 PM
Medicaid BillingMedicaid: StateInsertGroup Change Request TN1/26/2023 1:16 PM
Medicaid BillingMedicaid: NumberDeleteGroup Change Requestq058415 (TN) 1/11/2023 8:38 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1396275228 (TN) 1/11/2023 8:38 AM
Medicaid BillingMedicaid: NumberDeleteGroup Change Requestq059890 (TN) 11/2/2022 7:45 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1407382070 (TN) 11/2/2022 7:45 AM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False10/20/2022 10:56 AM
Medicaid BillingMedicaid: NumberInsertGroup Change Request Q07791310/20/2022 10:56 AM
Medicaid BillingMedicaid: StateInsertGroup Change Request TN10/20/2022 10:56 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 150858790810/20/2022 10:56 AM
Medicaid BillingNPI: StateInsertGroup Change Request TN10/20/2022 10:56 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 18818231369/29/2022 1:00 PM
Medicaid BillingNPI: StateInsertGroup Change Request TN9/29/2022 1:00 PM
Medicaid BillingMedicaid: NumberDeleteGroup Change Requestq016506 (TN) 7/14/2022 9:17 AM
Medicaid BillingMedicaid: NumberDeleteGroup Change Requestq025836 (TN) 6/29/2022 7:20 AM
Medicaid BillingNPI: NumberDeleteGroup Change Request1851835524 (TN) 6/29/2022 7:20 AM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False3/30/2022 9:05 AM
Medicaid BillingMedicaid: NumberInsertGroup Change Request 15331503/30/2022 9:05 AM
Medicaid BillingMedicaid: StateInsertGroup Change Request TN3/30/2022 9:05 AM
DetailsLast Recertification DateUpdateRecertification2/9/2021 4:19:52 PM2/1/2022 12:44:08 PM2/1/2022 12:44 PM
Medicaid BillingMedicaid: Is PrimaryInsertGroup Change Request False11/18/2021 7:49 AM
Medicaid BillingMedicaid: NumberInsertGroup Change Request q06886311/18/2021 7:49 AM
Medicaid BillingMedicaid: StateInsertGroup Change Request TN11/18/2021 7:49 AM
Medicaid BillingMedicaid: NumberDeleteChange Requestq034865 (TN) 8/16/2021 1:22 PM
Medicaid BillingNPI: NumberInsertRecertification 14078938522/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 17305641132/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 18119303082/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 18416148152/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 13962752282/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 17604136782/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 12751525632/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 10039471282/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 18518355242/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 14073820702/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 12452737962/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 18912747912/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 17201726872/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 17305697162/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 16191236762/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 14577124242/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 10438701572/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 10537630602/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 15189129552/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 15484275862/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberInsertRecertification 18018342212/9/2021 4:19 PM
Medicaid BillingNPI: StateInsertRecertification TN2/9/2021 4:19 PM
Medicaid BillingNPI: NumberDeleteRecertification1518912955 ( ) 2/9/2021 4:19 PM
Medicaid BillingNPI: NumberDeleteRecertification1801834221 ( ) 2/9/2021 4:19 PM
Medicaid BillingNPI: NumberDeleteRecertification1548427586 ( ) 2/9/2021 4:19 PM
DetailsLast Recertification DateUpdateRecertification2/11/2020 11:30:54 AM2/9/2021 4:19:52 PM2/9/2021 4:19 PM
Medicaid BillingMedicaid: NumberDeleteChange Requestq000713 (TN) 1/8/2021 4:34 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False10/13/2020 9:39 AM
Medicaid BillingMedicaid: NumberInsertChange Request q05989010/13/2020 9:39 AM
Medicaid BillingMedicaid: StateInsertChange Request TN10/13/2020 9:39 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False8/18/2020 3:39 PM
Medicaid BillingMedicaid: NumberInsertChange Request q0584158/18/2020 3:39 PM
Medicaid BillingMedicaid: StateInsertChange Request TN8/18/2020 3:39 PM
DetailsLast Recertification DateUpdateRecertification2/5/2019 1:09:25 PM2/11/2020 11:30:54 AM2/11/2020 11:30 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False8/22/2019 9:38 AM
Medicaid BillingMedicaid: NumberInsertChange Request q0511238/22/2019 9:38 AM
Medicaid BillingMedicaid: StateInsertChange Request TN8/22/2019 9:38 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False8/12/2019 9:18 AM
Medicaid BillingMedicaid: NumberInsertChange Request q0488848/12/2019 9:18 AM
Medicaid BillingMedicaid: StateInsertChange Request TN8/12/2019 9:18 AM
Medicaid BillingMedicaid: NumberDeleteChange Requestq019205 (TN) 7/1/2019 11:03 AM
DetailsLast Recertification DateUpdateRecertification2/27/2018 4:48:42 PM2/5/2019 1:09:25 PM2/5/2019 1:09 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False1/9/2019 6:05 PM
Medicaid BillingMedicaid: NumberInsertChange Request q0453811/9/2019 6:05 PM
Medicaid BillingMedicaid: StateInsertChange Request TN1/9/2019 6:05 PM
Medicaid BillingMedicaid: NumberDeleteChange Request3338243 (TN) 1/9/2019 6:05 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False4/16/2018 8:03 AM
Medicaid BillingMedicaid: NumberInsertChange Request q0348654/16/2018 8:03 AM
Medicaid BillingMedicaid: StateInsertChange Request TN4/16/2018 8:03 AM
DetailsLast Recertification DateUpdateRecertification1/26/2017 12:00:00 AM2/27/2018 4:48:42 PM2/27/2018 4:48 PM
Medicaid BillingMedicaid: NumberDeleteChange Requestq022292 (TN) 1/31/2018 4:01 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False1/31/2018 4:01 AM
Medicaid BillingMedicaid: NumberInsertChange Request q0001171/31/2018 4:01 AM
Medicaid BillingMedicaid: StateInsertChange Request TN1/31/2018 4:01 AM
Medicaid BillingMedicaid: NumberDeleteChange Requestq022271 (TN) 12/14/2017 3:37 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False12/14/2017 3:37 PM
Medicaid BillingMedicaid: NumberInsertChange Request q02583612/14/2017 3:37 PM
Medicaid BillingMedicaid: StateInsertChange Request TN12/14/2017 3:37 PM
ContactsAuthorizing OfficialUpdate Harris, Laura CEO 4234427268Harris, Laura CEO Chota Community Health Services 423442726810/24/2017 11:06 AM
ContactsPrimary ContactUpdate Gray, Melissa CFO 4234427268Gray, Melissa CFO Chota Community Health Services 423442726810/24/2017 10:47 AM
ContactsAuthorizing OfficialInsert  Harris, Laura CEO 42344272687/13/2017 7:38 AM
ContactsPrimary ContactUpdate Coffelt, Melissa CFO 4234427268Gray, Melissa CFO 42344272686/28/2017 2:06 PM
AddressesMain AddressInsert   412 Hunt St Tellico Plains, TN 37385-50466/28/2017 2:06 PM
AddressesBilling AddressInsert  Chota Community Health Services P.O. Box 278 Madisonville, TN 373546/28/2017 2:06 PM
ContactsSigned ByInsert  Das, Puspa Chief Executive Officer 4234427268-31576/28/2017 2:06 PM
Medicaid BillingMedicaid: NumberUpdate q0006821q0068216/28/2017 2:05 PM
DetailsLast Recertification DateUpdate 2/22/2016 12:00:00 AM1/26/2017 12:00:00 AM1/26/2017 9:54 AM
Medicaid BillingMedicaid: NumberUpdate 1509970151001212/8/2016 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False12/8/2016 9:12 AM
Medicaid BillingMedicaid: NumberInsert  150698512/8/2016 9:12 AM
Medicaid BillingMedicaid: StateInsert  TN12/8/2016 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False12/8/2016 9:12 AM
Medicaid BillingMedicaid: NumberInsert  Q02398112/8/2016 9:12 AM
Medicaid BillingMedicaid: StateInsert  TN12/8/2016 9:12 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  q0007139/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  q0219159/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  q00068219/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  q0165069/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  q0222929/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  q0192059/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  q0222919/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  q0222719/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  15099709/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  15217889/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  15073919/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False9/19/2016 12:19 PM
Medicaid BillingMedicaid: NumberInsert  33382439/19/2016 12:19 PM
Medicaid BillingMedicaid: StateInsert  TN9/19/2016 12:19 PM
Medicaid BillingNPI: NumberInsert  15189129559/19/2016 12:19 PM
Medicaid BillingNPI: NumberInsert  18018342219/19/2016 12:19 PM
Medicaid BillingNPI: NumberInsert  15484275869/19/2016 12:19 PM
DetailsLast Recertification DateUpdate 3/4/2015 12:00:00 AM2/22/2016 12:00:00 AM2/22/2016 9:36 AM
ContactsPrimary ContactInsert  Coffelt, Melissa CFO 42344272689/18/2015 2:45 PM
DetailsLast Recertification DateUpdate 3/16/2014 12:00:00 AM3/4/2015 12:00:00 AM3/4/2015 9:04 AM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/16/2014 12:00:00 AM3/16/2014 4:31 PM
DetailsEntity SubnameUpdate  CHOTA COMMUNITY HEALTH SERVICES3/16/2014 4:31 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/14/2013 1:42 PM
Details340B IDUpdate IS-FF-CH044251BCH044251B11/16/2012 4:42 PM
DatesParticipating Approval DateUpdate  11/16/2012 12:00:00 AM11/16/2012 4:42 PM
DetailsStateUpdate PendingActive11/16/2012 4:42 PM
DatesStart DateUpdate  1/1/2013 12:00:00 AM11/16/2012 4:42 PM
Details340B IDUpdate ONLINE_REGIS-FF-CH044251B11/5/2012 3:03 PM
DetailsComments PublicInsert  11/5/12 - Reviewed registration and forwarded to IS for approval.11/5/2012 3:03 PM
DetailsLast Recertification DateInsert   10/14/2012 8:02 PM
DetailsGrant NumberInsert  H80CS0646110/14/2012 8:02 PM
Details340B IDInsert  ONLINE_REG10/14/2012 8:02 PM
DetailsIs Authorizing Official EHB DataInsert   10/14/2012 8:02 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/14/2012 8:02 PM
DetailsMedicare Provider NumberInsert   10/14/2012 8:02 PM
DetailsEntity NameInsert  CHOTA COMMUNITY HEALTH SERVICES10/14/2012 8:02 PM
DetailsProgram CodeInsert  CH10/14/2012 8:02 PM
DetailsEntity SubnameInsert   10/14/2012 8:02 PM
DatesParticipating Approval DateInsert   10/14/2012 8:02 PM
DetailsStateInsert  Pending10/14/2012 8:02 PM
DatesRegistration DateInsert  10/14/2012 12:00:00 AM10/14/2012 8:02 PM
DatesSigned By DateInsert  10/14/2012 12:00:00 AM10/14/2012 8:02 PM
DatesStart DateInsert   10/14/2012 8:02 PM
TerminationsTermination CommentsInsert   10/14/2012 8:02 PM
TerminationsTermination DateInsert   10/14/2012 8:02 PM
TerminationsTermination Effective DateInsert   10/14/2012 8:02 PM
TerminationsTermination ReasonInsert   10/14/2012 8:02 PM