Covered Entity Details

CHC06666-03 Comprehensive Community Action, Inc. (Terminated) - information as of 4/25/2025 9:21:17 PM

Main Details

Name

Comprehensive Community Action, Inc.

Subdivision Name

CCA INC. BEHAVIORAL HEALTH

Type

HRSA-Funded Health Center

Site ID

BPS-H80-000081

340B ID

CHC06666-03

Grant Number

H80CS06666

Additional Details

Current Program Status

Terminated

Registration Date

4/5/2013

Participating Start Date

7/1/2013

Participating Approval Date

5/21/2013

Last Recertification Date

1/31/2017

Termination Date
Termination Reason

4/1/2017
Site closure

Contacts

Authorizing Official

Comprehensive Community Action, Inc.
Joanne McGunagle, President / CEO
(401) 467-9610 Ext: 8300

Primary Contact

Comprehensive Community Action, Inc
William Hochstrasser-Walsh, Director: Ambulatory and Behavioral Health
(401) 562-8302

Addresses

Street Address

311 Doric Ave
Cranston, RI 02910-2903

Billing Address
Same as Street Address

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?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC06666-00	Active	BPS-H80-005417	Comprehensive Community Action, Inc.	EVERETT C. WILCOX FAMILY HEALTH CENTER	226 Buttonwoods Ave	Warwick	RI
CHC06666-01	Active	BPS-H80-004892	Comprehensive Community Action, Inc.	FAMILY HEALTH SVCS OF COVENTRY	191 Macarthur Blvd	Coventry	RI
CHC06666-02	Active	BPS-H80-002460	Comprehensive Community Action, Inc.	FAMILY HEALTH SERVICES - CRANSTON	1090 Cranston St	Cranston	RI
CHC06666-03	Terminated	BPS-H80-000081	Comprehensive Community Action, Inc.	CCA INC. BEHAVIORAL HEALTH	311 Doric Ave	Cranston	RI
CHC06666-04	Active	BPS-H80-015325	COMPREHENSIVE COMMUNITY ACTION, INC.	Primary Care Partners	2756 Post Road, Suite 103	Warwick	RI

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC06666-02	WALGREEN EASTERN CO., INC	WALGREENS #19348	1011 CRANSTON ST.	CRANSTON	RI	02920	01/01/2019	06/08/2020
CHC06666-00	WALGREEN EASTERN CO., INC	WALGREENS #19348	1011 CRANSTON ST.	CRANSTON	RI	02920	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02850	1010 PARK AVE	CRANSTON	RI	02910	10/01/2013	04/21/2025
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04145	533 ELMWOOD AVE.	PROVIDENCE	RI	02907	10/01/2013
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03899	1387 PLAINFIELD ST	JOHNSTON	RI	02919	10/01/2013
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03704	3336 POST ROAD	WARWICK	RI	02886	10/01/2013
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09995	1 COWESETT AVENUE	WEST WARWICK	RI	02893-3207	10/01/2013	03/27/2025
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11128	875 TIOGUE AVE.	COVENTRY	RI	02816-6300	10/01/2013
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03204	295 ACADEMY AVENUE	PROVIDENCE	RI	02908	07/01/2016
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11147	1 POCASSET AVE.	PROVIDENCE	RI	02909-2907	07/01/2016
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03345	2399 WARWICK AVE.	WARWICK	RI	02889	07/01/2016
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 06592	1560 WARWICK AVE	WARWICK	RI	02889-1020	07/01/2016
CHC06666-02	WALGREEN EASTERN CO., INC.	WALGREENS #19761	1510 SMITH ST.	NORTH PROVIDENCE	RI	02911-2918	01/01/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	RITE AID #10219	719 TIOGUE AVE.	COVENTRY	RI	02816	01/01/2019	07/29/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	WALGREENS #18384	456 BRANCH AVE.	PROVIDENCE	RI	02904-2205	01/01/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	WALGREENS #19849	655 WARREN AVE.	EAST PROVIDENCE	RI	02914	01/01/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	WALGREENS #19849	655 WARREN AVE.	EAST PROVIDENCE	RI	02914	01/01/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	RITE AID #10262	250 ATWOOD AVE.	CRANSTON	RI	02920	01/01/2019	07/29/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	WALGREENS #19838	1080 BALD HILL RD.	WARWICK	RI	02886-4202	01/01/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	WALGREENS #19838	1080 BALD HILL RD.	WARWICK	RI	02886-4202	01/01/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	WALGREENS #19844	500 BROAD ST STE 6	PROVIDENCE	RI	02907-1367	01/01/2019
CHC06666-02	WALGREEN EASTERN CO., INC.	WALGREENS #19529	2595 W SHORE RD	WARWICK	RI	02889-8106	01/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	WALGREENS #19761	1510 SMITH ST.	NORTH PROVIDENCE	RI	02911-2918	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	WALGREENS #19529	2595 W SHORE RD	WARWICK	RI	02889-8106	04/01/2019	05/01/2025
CHC06666-00	WALGREEN EASTERN CO., INC.	WALGREENS #19900	135 PITMAN ST.	PROVIDENCE	RI	02906	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	RITE AID #10219	719 TIOGUE AVE.	COVENTRY	RI	02816	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	RITE AID #10262	250 ATWOOD AVE.	CRANSTON	RI	02920	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	WALGREENS #19849	655 WARREN AVE.	EAST PROVIDENCE	RI	02914	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	WALGREENS #19838	1080 BALD HILL RD.	WARWICK	RI	02886-4202	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #15538	335 PRAIRIE AVENUE	PROVIDENCE	RI	02905	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	WALGREENS #18384	456 BRANCH AVE.	PROVIDENCE	RI	02904-2205	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	WALGREENS #19844	500 BROAD ST STE 6	PROVIDENCE	RI	02907-1367	04/01/2019
CHC06666-00	WALGREEN EASTERN CO., INC.	WALGREENS #19985	1665 MINERAL SPRING AVE.	NORTH PROVIDENCE	RI	02904	04/01/2019
CHC06666-00	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	07/01/2025
CHC06666-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	10/01/2013	07/07/2015
CHC06666-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Recertification	McGunagle, Joanne Executive Director 4014679610-8300	McGunagle, Joanne President / CEO Comprehensive Community Action, Inc. 4014679610-8300	2/12/2018 9:56 AM
Contacts	Signed By	Update	Recertification	McGunagle, Joanne Executive Director 4014679610-8300	McGunagle, Joanne President / CEO Comprehensive Community Action, Inc. 4014679610-8300	2/12/2018 9:56 AM
Contacts	Primary Contact	Update		Hochstrasser-Walsh, William Director: Ambulatory and Behavioral Health 4015628302	Hochstrasser-Walsh, William Director: Ambulatory and Behavioral Health Comprehensive Community Action, Inc 4015628302	1/31/2018 9:57 AM
Contacts	Primary Contact	Insert			Hochstrasser-Walsh, William Director: Ambulatory and Behavioral Health 4015628302	5/22/2017 12:23 PM
Addresses	Main Address	Insert			311 Doric Ave Cranston, RI 02910-2903	1/31/2017 2:39 PM
Contacts	Authorizing Official	Insert			McGunagle, Joanne Executive Director 4014679610-8300	1/31/2017 2:39 PM
Contacts	Signed By	Insert			McGunagle, Joanne Executive Director 4014679610-8300	1/31/2017 2:39 PM
Details	Last Recertification Date	Update		2/25/2016 12:00:00 AM	1/31/2017 12:00:00 AM	1/31/2017 2:38 PM
Dates	Last Date That 340B Drugs Purchased	Update			12/31/2016 12:00:00 AM	1/31/2017 2:38 PM
Details	State	Update		Active	Terminated	1/31/2017 2:38 PM
Terminations	Termination Comments	Update			As the final part of our comprehensive plan for fully integrating primary health care and behavioral health care, the site closure ( our behavioral health site)is a result of moving all behavioral health clinicians to the primary care sites (covered entities)	1/31/2017 2:38 PM
Terminations	Termination Date	Update			4/1/2017 12:00:00 AM	1/31/2017 2:38 PM
Terminations	Termination Effective Date	Update			12/31/2016 12:00:00 AM	1/31/2017 2:38 PM
Terminations	Termination Reason	Update			Site closure	1/31/2017 2:38 PM
Details	Last Recertification Date	Update		1/28/2015 12:00:00 AM	2/25/2016 12:00:00 AM	2/25/2016 2:05 PM
Details	Last Recertification Date	Update		3/23/2014 12:00:00 AM	1/28/2015 12:00:00 AM	1/28/2015 3:18 PM
Details	Is Authorizing Official EHB Data	Update			False	1/28/2015 3:18 PM
Details	Last Recertification Date	Update			3/23/2014 12:00:00 AM	3/23/2014 2:39 PM
Details	Entity Name	Update		COMPREHENSIVE COMMUNITY ACTION	Comprehensive Community Action, Inc.	3/23/2014 2:39 PM
Details	340B ID	Update		IS-FN-CHC06666-03	CHC06666-03	5/21/2013 3:06 PM
Dates	Participating Approval Date	Update			5/21/2013 12:00:00 AM	5/21/2013 3:06 PM
Details	State	Update		Pending	Active	5/21/2013 3:06 PM
Dates	Start Date	Update			7/1/2013 12:00:00 AM	5/21/2013 3:06 PM
Details	340B ID	Update		ONLINE_REG	IS-FN-CHC06666-03	4/25/2013 4:47 PM
Details	Last Recertification Date	Insert				4/5/2013 10:58 AM
Details	Grant Number	Insert			H80CS06666	4/5/2013 10:58 AM
Details	340B ID	Insert			ONLINE_REG	4/5/2013 10:58 AM
Details	Is Authorizing Official EHB Data	Insert				4/5/2013 10:58 AM
Dates	Last Date That 340B Drugs Purchased	Insert				4/5/2013 10:58 AM
Details	Medicare Provider Number	Insert				4/5/2013 10:58 AM
Details	Entity Name	Insert			COMPREHENSIVE COMMUNITY ACTION	4/5/2013 10:58 AM
Details	Program Code	Insert			CH	4/5/2013 10:58 AM
Details	Entity Subname	Insert			CCA INC. BEHAVIORAL HEALTH	4/5/2013 10:58 AM
Dates	Participating Approval Date	Insert				4/5/2013 10:58 AM
Details	State	Insert			Pending	4/5/2013 10:58 AM
Dates	Registration Date	Insert			4/5/2013 12:00:00 AM	4/5/2013 10:58 AM
Dates	Signed By Date	Insert			4/5/2013 12:00:00 AM	4/5/2013 10:58 AM
Dates	Start Date	Insert				4/5/2013 10:58 AM
Terminations	Termination Comments	Insert				4/5/2013 10:58 AM
Terminations	Termination Date	Insert				4/5/2013 10:58 AM
Terminations	Termination Effective Date	Insert				4/5/2013 10:58 AM
Terminations	Termination Reason	Insert				4/5/2013 10:58 AM

340B Drug Pricing Program Database