Covered Entity Details

CHC24201-03 URBAN COMMUNITY ACTION PROJECTS (Terminated) - information as of 6/16/2025 11:22:30 PM

Main Details

Name

URBAN COMMUNITY ACTION PROJECTS

Subdivision Name

Health in Motion Mobile Clinic Van

Type

HRSA-Funded Health Center

Site ID

BPS-H80-012883

340B ID

CHC24201-03

Grant Number

H80CS24201

Additional Details

Current Program Status

Terminated

Registration Date

1/10/2014

Participating Start Date

4/1/2014

Participating Approval Date

2/25/2014

Last Recertification Date

1/30/2019

Termination Date
Termination Reason

4/1/2020
Failure to recertify

Contacts

Authorizing Official

Urban Community Action Projects
Beth Wagner, COO
(951) 595-4165

Primary Contact

Urban Community Action Projects
Bill Ballas, CEO
(951) 595-4163

Addresses

Street Address

3399 Central Ave
Riverside, CA 92506-1456

Billing Address

Urban Community Action Projects
2880 Hulen Place
Riverside, CA 92507-2606

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
CHC24201-00	Terminated	BPS-H80-013825	URBAN COMMUNITY ACTION PROJECTS	City of Riverside Emergency Shelter	2880 Hulen	Riverside	CA
CHC24201-01	Terminated	BPS-H80-013825	URBAN COMMUNITY ACTION PROJECTS	City of Riverside Access Center	2880 Hulen Pl	Riverside	CA
CHC24201-02	Terminated	BPS-H80-013497	URBAN COMMUNITY ACTION PROJECTS	Health to Hope Clinics, Coachella Valley Rescue Mission	47470 Van Buren St	Indio	CA
CHC24201-03	Terminated	BPS-H80-012883	URBAN COMMUNITY ACTION PROJECTS	Health in Motion Mobile Clinic Van	3399 Central Ave	Riverside	CA
CHC24201-04	Terminated	BPS-H80-012670	URBAN COMMUNITY ACTION PROJECTS	Desert SOS (Roy's Resource Center)	19531 McLane Street	Palm Springs	CA
CHC24201-05	Terminated	BPS-H80-020941	Urban Community Action Projects	Health To Hope Clinics - Mobile Unit # 3	2880 Hulen Place	Riverside	CA
CHC24201-06	Terminated	BPS-H80-017665	Urban Community Action Projects	Health to Hope Clinics - Mobile Unit 2	3399 Central Avenue	Riverside	CA
CHC24201-07	Terminated	BPS-H80-019319	Urban Community Action Projects	H2H Primary Care Clinic	84110 Manila Street #B	Indio	CA
CHC24201-08	Terminated	BPS-H80-019661	Urban Community Action Projects	Martha's Village & Kitchen	83791 Date Avenue	Indio	CA
CHC24201-09	Terminated	BPS-H80-017347	Urban Community Action Projects	Health to Hope Clinics Riverside Offices	2881 Hulen Place	Riverside	CA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC24201-00	LA BUENA VIDA PHARMACY INC	DBA LA BUENA VIDA PHARMACY	51-335 CESAR CHAVEZ ST STE 116	COACHELLA	CA	92236	01/01/2016	04/01/2018
CHC24201-02	LA BUENA VIDA PHARMACY INC	DBA LA BUENA VIDA PHARMACY	51-335 CESAR CHAVEZ ST STE 116	COACHELLA	CA	92236	01/01/2019	04/01/2020
CHC24201-07	LA BUENA VIDA PHARMACY INC	DBA LA BUENA VIDA PHARMACY	51-335 CESAR CHAVEZ ST STE 116	COACHELLA	CA	92236	01/01/2019	04/01/2020
CHC24201-00	LA BUENA VIDA PHARMACY INC	DBA LA BUENA VIDA PHARMACY	51-335 CESAR CHAVEZ ST STE 116	COACHELLA	CA	92236	01/01/2019	04/01/2020
CHC24201-00	THE MEDICINE SHOPPE	10237 MAGNOLIA VE		RIVERSIDE	CA	92503-3440	07/01/2016	04/01/2018
CHC24201-00	THE MEDICINE SHOPPE	10237 MAGNOLIA VE		RIVERSIDE	CA	92503-3440	01/01/2019	04/01/2020
CHC24201-00	THRIFTY PAYLESS, INC.	RITE AID #6532	47985 MONROE STREET BLDG A	INDIO	CA	92201	07/01/2019	04/01/2020
CHC24201-00	THRIFTY PAYLESS, INC.	RITE AID #5716	3849 CHICAGO AVENUE	RIVERSIDE	CA	92507	07/01/2019	04/01/2020
CHC24201-00	WALGREEN CO	DBA: WALGREENS #09781	82-955 AVENUE 48, BLDG B	INDIO	CA	92201	01/01/2015	04/01/2018
CHC24201-01	WALGREEN CO	DBA: WALGREENS #09021	1811 S SAN JACINTO AVE	SAN JACINTO	CA	92583-5605	01/01/2018	04/01/2020
CHC24201-00	WALGREEN CO	DBA: WALGREENS #09781	82-955 AVENUE 48, BLDG B	INDIO	CA	92201	01/01/2019	04/01/2020
CHC24201-02	WALGREEN CO	DBA: WALGREENS #09781	82-955 AVENUE 48, BLDG B	INDIO	CA	92201	01/01/2019	04/01/2020
CHC24201-08	WALGREEN CO	DBA: WALGREENS #09781	82-955 AVENUE 48, BLDG B	INDIO	CA	92201	01/01/2019	04/01/2020
CHC24201-07	WALGREEN CO	DBA: WALGREENS #09781	82-955 AVENUE 48, BLDG B	INDIO	CA	92201	01/01/2019	04/01/2020
CHC24201-05	WALGREEN CO	DBA: WALGREENS #09781	82-955 AVENUE 48, BLDG B	INDIO	CA	92201	01/01/2019	04/01/2020
CHC24201-06	WALGREEN CO	DBA: WALGREENS #09781	82-955 AVENUE 48, BLDG B	INDIO	CA	92201	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO	DBA: WALGREENS #09021	1811 S SAN JACINTO AVE	SAN JACINTO	CA	92583-5605	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO	DBA: WALGREENS # 09136	1625 W SUNSET BLVD	LOS ANGELES	CA	90026	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: WALGREENS # 07262	6600 MAGNOLIA AVE	RIVERSIDE	CA	92506-2903	01/01/2014	04/01/2018
CHC24201-00	WALGREEN CO.	DBA: WALGREENS #07990	1745 UNIVERSITY AVE.	RIVERSIDE	CA	92507	01/01/2014	04/01/2018
CHC24201-00	WALGREEN CO.	DBA: WALGREENS # 05037	14001 PALM DR	DESERT HOT SPRINGS	CA	92240	01/01/2015	04/01/2018
CHC24201-00	WALGREEN CO.	DBA: WALGREENS # 09080	80925 US HIGHWAY 111	INDIO	CA	92201	01/01/2015	04/01/2018
CHC24201-00	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #13435	555 S SUNRISE WAY STE 112-113	PALM SPRINGS	CA	92264	01/01/2015	04/01/2018
CHC24201-01	WALGREEN CO.	DBA: WALGREENS #07991	6444 VAN BUREN BLVD	RIVERSIDE	CA	92503	01/01/2018	04/01/2020
CHC24201-01	WALGREEN CO.	DBA: DOMINGUEZ, A WALGREENS PHARMACY	2055 N PERRIS BLVD SUITE A1	PERRIS	CA	92571	01/01/2018	04/01/2020
CHC24201-01	WALGREEN CO.	DBA: WALGREENS # 05348	34503 YUCAIPA BLVD	YUCAIPA	CA	92399	01/01/2018	04/01/2020
CHC24201-01	WALGREEN CO.	DBA: WALGREENS #07990	1745 UNIVERSITY AVE.	RIVERSIDE	CA	92507	01/01/2019	04/01/2020
CHC24201-06	WALGREEN CO.	DBA: WALGREENS #07990	1745 UNIVERSITY AVE.	RIVERSIDE	CA	92507	01/01/2019	04/01/2020
CHC24201-05	WALGREEN CO.	DBA: WALGREENS # 09183	1301 W BASELINE ST	SAN BERNARDINO	CA	92411-1707	01/01/2019	04/01/2020
CHC24201-05	WALGREEN CO.	DBA: WALGREENS #07990	1745 UNIVERSITY AVE.	RIVERSIDE	CA	92507	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #13435	555 S SUNRISE WAY STE 112-113	PALM SPRINGS	CA	92264	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: WALGREENS # 07262	6600 MAGNOLIA AVE	RIVERSIDE	CA	92506-2903	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: DOMINGUEZ, A WALGREENS PHARMACY	2055 N PERRIS BLVD SUITE A1	PERRIS	CA	92571	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: WALGREENS # 05037	14001 PALM DR	DESERT HOT SPRINGS	CA	92240	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: WALGREENS #07991	6444 VAN BUREN BLVD	RIVERSIDE	CA	92503	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: WALGREENS # 09183	1301 W BASELINE ST	SAN BERNARDINO	CA	92411-1707	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: WALGREENS #07990	1745 UNIVERSITY AVE.	RIVERSIDE	CA	92507	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: WALGREENS # 05348	34503 YUCAIPA BLVD	YUCAIPA	CA	92399	01/01/2019	04/01/2020
CHC24201-00	WALGREEN CO.	DBA: WALGREENS # 09080	80925 US HIGHWAY 111	INDIO	CA	92201	01/01/2019	04/01/2020
CHC24201-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	01/01/2014	03/29/2017

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2020 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		3/31/2020 12:00:00 AM	2/28/2020 10:00 AM
Details	State	Update	Recertification	Active	To Be Terminated	2/28/2020 10:00 AM
Terminations	Termination Date	Update	Recertification		4/1/2020 12:00:00 AM	2/28/2020 10:00 AM
Terminations	Termination Effective Date	Update	Recertification		4/1/2020 12:00:00 AM	2/28/2020 10:00 AM
Terminations	Termination Reason	Update	Recertification		Failure to recertify	2/28/2020 10:00 AM
Contacts	Primary Contact	Update	Recertification	Dougan, Princess Clinical Director Urban Community Action Projects 9516406772	Ballas, Bill CEO Urban Community Action Projects 9515954163	1/30/2019 2:42 PM
Details	Last Recertification Date	Update	Recertification	2/13/2018 7:34:40 PM	1/30/2019 2:42:24 PM	1/30/2019 2:42 PM
Contacts	Authorizing Official	Update	Change Request	Parakati, Emmanuel Chief Executive Officer Urban Community Action Projects (dba) Health To Hope Clinics 9516406511	Wagner, Beth COO Urban Community Action Projects 9515954165	10/4/2018 1:17 PM
Contacts	Primary Contact	Update	Recertification	Stewart, Ken Director of Operations 9515954127	Dougan, Princess Clinical Director Urban Community Action Projects 9516406772	2/13/2018 7:34 PM
Details	Last Recertification Date	Update	Recertification	2/1/2017 12:00:00 AM	2/13/2018 7:34:40 PM	2/13/2018 7:34 PM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/13/2018 7:34 PM
Contacts	Authorizing Official	Update		Parakati, Emmanuel Chief Executive Officer 9516406511	Parakati, Emmanuel Chief Executive Officer Urban Community Action Projects (dba) Health To Hope Clinics 9516406511	10/12/2017 6:27 PM
Contacts	Signed By	Insert			Taylor, Gale Chief Financial Officer 3602800737	3/30/2017 12:05 PM
Contacts	Authorizing Official	Insert			Parakati, Emmanuel Chief Executive Officer 9516406511	2/1/2017 9:20 AM
Contacts	Primary Contact	Insert			Stewart, Ken Director of Operations 9515954127	2/1/2017 9:20 AM
Addresses	Main Address	Insert			3399 Central Ave Riverside, CA 92506-1456	2/1/2017 9:20 AM
Details	Last Recertification Date	Update		3/1/2016 12:00:00 AM	2/1/2017 12:00:00 AM	2/1/2017 9:20 AM
Details	Last Recertification Date	Update		3/9/2015 12:00:00 AM	3/1/2016 12:00:00 AM	3/1/2016 11:08 AM
Addresses	Billing Address	Insert			Urban Community Action Projects 2880 Hulen Place Riverside, CA 92507-2606	3/9/2015 10:38 PM
Details	Last Recertification Date	Update			3/9/2015 12:00:00 AM	3/9/2015 10:38 PM
Details	Is Authorizing Official EHB Data	Update			False	3/9/2015 10:38 PM
Details	340B ID	Update		ONLINE_REG	CHC24201-03	2/25/2014 5:37 PM
Dates	Participating Approval Date	Update			2/25/2014 12:00:00 AM	2/25/2014 5:37 PM
Details	State	Update		Pending	Active	2/25/2014 5:37 PM
Dates	Start Date	Update			4/1/2014 12:00:00 AM	2/25/2014 5:37 PM
Details	Last Recertification Date	Insert				1/10/2014 4:46 PM
Details	Grant Number	Insert			H80CS24201	1/10/2014 4:46 PM
Details	340B ID	Insert			ONLINE_REG	1/10/2014 4:46 PM
Details	Is Authorizing Official EHB Data	Insert				1/10/2014 4:46 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/10/2014 4:46 PM
Details	Medicare Provider Number	Insert				1/10/2014 4:46 PM
Details	Entity Name	Insert			URBAN COMMUNITY ACTION PROJECTS	1/10/2014 4:46 PM
Details	Program Code	Insert			CH	1/10/2014 4:46 PM
Details	Entity Subname	Insert			Health in Motion Mobile Clinic Van	1/10/2014 4:46 PM
Dates	Participating Approval Date	Insert				1/10/2014 4:46 PM
Details	State	Insert			Pending	1/10/2014 4:46 PM
Dates	Registration Date	Insert			1/10/2014 12:00:00 AM	1/10/2014 4:46 PM
Dates	Signed By Date	Insert			1/10/2014 12:00:00 AM	1/10/2014 4:46 PM
Dates	Start Date	Insert				1/10/2014 4:46 PM
Terminations	Termination Comments	Insert				1/10/2014 4:46 PM
Terminations	Termination Date	Insert				1/10/2014 4:46 PM
Terminations	Termination Effective Date	Insert				1/10/2014 4:46 PM
Terminations	Termination Reason	Insert				1/10/2014 4:46 PM

340B Drug Pricing Program Database