Covered Entity Details

CH07817B Bluestem Health (Active) - information as of 5/10/2025 10:53:55 PM

Main Details

Name

Bluestem Health

Subdivision Name

Health 360

Type

HRSA-Funded Health Center

Site ID

BPS-H80-017625

340B ID

CH07817B

Grant Number

H80CS00236

Additional Details

Current Program Status

Active

Registration Date

10/13/2015

Participating Start Date

1/1/2016

Participating Approval Date

10/16/2015

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Bluestem Health
Brad Lee Meyer, Chief Executive Officer
(402) 470-5424

Primary Contact

Bluestem Health
Jacque Fanning, Chief Financial Officer
(402) 470-5421

Addresses

Street Address

2301 O St. Ste 2
LINCOLN, NE 68510

Billing Address

Bluestem Health
1248 O St.
Lincoln, NE 68508

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	Last Updated On
Contract Detail	GENOA HEALTHCARE LLC	2301 O STREET		LINCOLN	NE	68510	10/16/2023	01/01/2024	01/01/2024
Contract Detail	GENOA HEALTHCARE LLC	3100 N 14TH ST STE P		LINCOLN	NE	68521	10/16/2023	01/01/2024	01/01/2024
Contract Detail	NEBRASKA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 473	1550 SOUTH ST.	LINCOLN	NE	68502	07/09/2019	10/01/2019	10/01/2019
Contract Detail	NEBRASKA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08615	1411 SUPERIOR STREET	LINCOLN	NE	68521	10/16/2023	01/01/2024	01/01/2024
Contract Detail	WAL-MART PHARMACY 10-1943	4700 NORTH 27TH STREET		LINCOLN (N)	NE	68521	10/16/2023	01/01/2024	01/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 01162	8300 NORTHERN LIGHTS DR.	LINCOLN	NE	68505	01/08/2018	04/01/2018	01/08/2018

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH078170	Active	BPS-H80-000414	Bluestem Health	Bluestem Health	1021 N 27th St	Lincoln	NE
CH07817A	Terminated	BPS-H80-017137	PEOPLES' HEALTH CENTER	People's Quick Care	2246 O Street	Lincoln	NE
CH07817B	Active	BPS-H80-017625	Bluestem Health	Health 360	2301 O St. Ste 2	LINCOLN	NE
CH07817C	Active	BPS-H80-018702	Bluestem Health	Thompson Clinic	2222 S 16th Street, Ste. 435	Lincoln	NE
CH07817D	Active	BPS-H80-027379	Bluestem Health	Kreshel Clinic	3100 N 14th St.	Lincoln	NE
CH07817E	Terminated	BPS-H80-030837	Bluestem Health	Bluestem Health: Piedmont Clinic	1500 S 48th St Ste 412	Lincoln	NE

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH078170	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/01/2023
CH078170	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2023
CH078170	GENOA HEALTHCARE LLC	2301 O STREET		LINCOLN	NE	68510	04/01/2015
CH07817C	GENOA HEALTHCARE LLC	2301 O STREET		LINCOLN	NE	68510	04/01/2017
CH078170	GENOA HEALTHCARE LLC	3100 N 14TH ST STE P		LINCOLN	NE	68521	01/01/2020
CH07817B	GENOA HEALTHCARE LLC	2301 O STREET		LINCOLN	NE	68510	01/01/2024
CH07817B	GENOA HEALTHCARE LLC	3100 N 14TH ST STE P		LINCOLN	NE	68521	01/01/2024
CH078170	HY-VEE 1385	5010 O STREET		LINCOLN	NE	68510	07/01/2020
CH078170	HY-VEE PHARMACY	6001 VILLAGE DRIVE		LINCOLN	NE	68516	07/01/2020
CH078170	HY-VEE PHARMACY	7151 STACY LANE		LINCOLN	NE	68516	07/01/2020	07/15/2021
CH078170	HY-VEE PHARMACY #2	1601 N. 84TH ST		LINCOLN	NE	68505	07/01/2020
CH078170	Hy-Vee Pharmacy Fulfillment Center #4016	Hy-Vee Inc	4707 Fleur Dr	Des Moines	IA	50321	07/01/2020
CH078170	HY-VEE, INC.	DBA HY-VEE PHARMACY #3 (1387)	5020 N 27TH STREET	LINCOLN	NE	68521	07/01/2020
CH078170	KOHLL'S PHARMACY & HOMECARE	800 N 27TH ST		LINCOLN	NE	68503	04/01/2015	03/25/2019
CH078170	KOHLL'S RX	SAKRX, LLC	808 N 27TH ST	LINCOLN	NE	68503-2523	03/22/2019
CH07817C	KOHLL'S RX	SAKRX, LLC	808 N 27TH ST	LINCOLN	NE	68503-2523	01/01/2024
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 473	1550 SOUTH ST.	LINCOLN	NE	68502	10/01/2019
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	CVS/PHARMACY # 4033	5611 SOUTH 27TH ST.	LINCOLN	NE	68512	10/01/2019
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08294	4808 O STREET	LINCOLN	NE	68510	10/01/2019	06/15/2023
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 8610	2755 S 48TH STREET	LINCOLN	NE	68506	10/01/2019
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08615	1411 SUPERIOR STREET	LINCOLN	NE	68521	10/01/2019
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08616	5566 SOUTH 56TH ST	LINCOLN	NE	68516	10/01/2019
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08626	7002 O STREET	LINCOLN	NE	68510	10/01/2019
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16055	333 N 48TH ST	LINCOLN	NE	68504	10/01/2019
CH078170	NEBRASKA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17371	8201 S 40TH ST	LINCOLN	NE	68516	10/01/2019
CH07817B	NEBRASKA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 473	1550 SOUTH ST.	LINCOLN	NE	68502	10/01/2019
CH07817B	NEBRASKA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08615	1411 SUPERIOR STREET	LINCOLN	NE	68521	01/01/2024
CH07817C	NEBRASKA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 473	1550 SOUTH ST.	LINCOLN	NE	68502	01/01/2024
CH07817D	NEBRASKA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08615	1411 SUPERIOR STREET	LINCOLN	NE	68521	01/01/2024
CH078170	RUSS'S PHARMACY #1	1709 WASHINGTON ST		LINCOLN	NE	68502	07/01/2023
CH078170	RUSS'S PHARMACY #21	1550 S CODDINGTON AVE		LINCOLN	NE	68522	07/01/2023
CH078170	SUPER SAVER PHARMACY #9	2662 CORNHUSKER HWY		LINCOLN	NE	68521	07/01/2023
CH078170	WAGEY DRUG CO		800 NO 27TH ST	LINCOLN	NE	68503	01/01/2004	12/01/2016
CH078170	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH078170	WAL-MART PHARMACY 10-1943	4700 NORTH 27TH STREET		LINCOLN (N)	NE	68521	04/01/2017
CH07817B	WAL-MART PHARMACY 10-1943	4700 NORTH 27TH STREET		LINCOLN (N)	NE	68521	01/01/2024
CH07817C	WAL-MART PHARMACY 10-1943	4700 NORTH 27TH STREET		LINCOLN (N)	NE	68521	01/01/2024
CH078170	WAL-MART PHARMACY 10-2432	2500 JAMIE LANE		LINCOLN	NE	68512	04/01/2017
CH078170	WAL-MART PHARMACY 10-3278	8700 ANDERMATT DR		LINCOLN	NE	68526	04/01/2017	03/22/2018
CH078170	WAL-MART PHARMACY 10-3823	3400 N 85TH ST		LINCOLN	NE	68507	04/01/2017	03/22/2018
CH078170	WAL-MART PHARMACY 10-3823	3400 N 85TH ST		LINCOLN	NE	68507	10/01/2023
CH078170	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH078170	WALGREEN CO.	DBA: WALGREENS # 00515	2600 S 48TH STREET STE 7	LINCOLN	NE	68506	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 00541	1301 O STREET	LINCOLN	NE	68508	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 01430	1701 SOUTH ST	LINCOLN	NE	68502	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 02845	5701 VILLAGE BLVD	LINCOLN	NE	68516	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 03182	7045 O STREET	LINCOLN	NE	68510	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 04088	2502 N. 48TH ST	LINCOLN	NE	68504	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 04753	1404 SUPERIOR ST.	LINCOLN	NE	68521	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 05736	815 N 27TH ST	LINCOLN	NE	68503	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 05874	2630 PINE LAKE RD	LINCOLN	NE	68512	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 06884	4000 S 70TH STREET	LINCOLN	NE	68506-4658	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 10408	4811 O ST	LINCOLN	NE	68510	10/26/2012
CH078170	WALGREEN CO.	DBA: WALGREENS # 01162	8300 NORTHERN LIGHTS DR.	LINCOLN	NE	68505	04/01/2018
CH07817B	WALGREEN CO.	DBA: WALGREENS # 01162	8300 NORTHERN LIGHTS DR.	LINCOLN	NE	68505	04/01/2018
CH07817C	WALGREEN CO.	DBA: WALGREENS # 04753	1404 SUPERIOR ST.	LINCOLN	NE	68521	01/01/2024
CH07817D	WALGREEN CO.	DBA: WALGREENS # 05736	815 N 27TH ST	LINCOLN	NE	68503	01/01/2024
CH078170	Walgreens Central Fill #21394	2601 Hughes Road	Suite 103	Liberty	MO	64068	10/01/2023
CH078170	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH078170	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 3:18:40 PM	2/10/2025 10:43:48 AM	2/10/2025 10:43 AM
Addresses	Billing Address	Update	Recertification	Bluestem Health PO Box 83947 Lincoln, NE 68501	Bluestem Health 1248 O St. Lincoln, NE 68508	1/29/2024 3:18 PM
Details	Last Recertification Date	Update	Recertification	1/30/2023 9:50:58 AM	1/29/2024 3:18:40 PM	1/29/2024 3:18 PM
Details	Last Recertification Date	Update	Recertification	1/31/2022 10:50:42 AM	1/30/2023 9:50:58 AM	1/30/2023 9:50 AM
Details	Last Recertification Date	Update	Recertification	2/3/2021 12:43:38 PM	1/31/2022 10:50:42 AM	1/31/2022 10:50 AM
Addresses	Main Address	Update	Recertification	2301 O St. LINCOLN, NE 68510	2301 O St. Ste 2 LINCOLN, NE 68510	2/3/2021 12:43 PM
Details	Last Recertification Date	Update	Recertification	1/27/2020 10:41:56 AM	2/3/2021 12:43:38 PM	2/3/2021 12:43 PM
Details	Last Recertification Date	Update	Recertification	1/29/2019 10:25:17 AM	1/27/2020 10:41:56 AM	1/27/2020 10:41 AM
Details	Last Recertification Date	Update	Recertification	2/28/2018 9:49:34 AM	1/29/2019 10:25:17 AM	1/29/2019 10:25 AM
Contacts	Primary Contact	Update	Change Request	Meyer, Brad Lee Chief Executive Officer Bluestem Health 4024705424	Fanning, Jacque Chief Financial Officer Bluestem Health 4024705421	3/7/2018 8:07 AM
Contacts	Authorizing Official	Update	Change Request	Meyer, Brad Lee Chief Executive Officer Bluestem Health 4024705424	Meyer, Brad Lee Chief Executive Officer Bluestem Health 4024705424	3/7/2018 8:07 AM
Addresses	Billing Address	Update	Recertification	People's Health Center PO Box 83947 Lincoln, NE 68501	Bluestem Health PO Box 83947 Lincoln, NE 68501	2/28/2018 9:49 AM
Contacts	Primary Contact	Update	Recertification	Meyer, Brad Lee Chief Executive Officer Bluestem Health 4024705424	Meyer, Brad Lee Chief Executive Officer Bluestem Health 4024705424	2/28/2018 9:49 AM
Details	Last Recertification Date	Update	Recertification	1/25/2017 12:00:00 AM	2/28/2018 9:49:34 AM	2/28/2018 9:49 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/28/2018 9:49 AM
Details	Entity Name	Update	Recertification	PEOPLES' HEALTH CENTER	Bluestem Health	2/28/2018 9:49 AM
Contacts	Authorizing Official	Update	Profile Change Request	Meyer, Brad Lee Chief Executive Officer People's Health Center 4024705424	Meyer, Brad Lee Chief Executive Officer Bluestem Health 4024705424	1/19/2018 9:52 AM
Contacts	Primary Contact	Update	Profile Change Request	Meyer, Brad Lee Chief Executive Officer People's Health Center 4024705424	Meyer, Brad Lee Chief Executive Officer Bluestem Health 4024705424	1/19/2018 9:52 AM
Contacts	Authorizing Official	Update	Profile Change Request	Meyer, Brad Lee CEO People's Health Center 4024705424	Meyer, Brad Lee Chief Executive Officer People's Health Center 4024705424	10/2/2017 1:58 PM
Contacts	Primary Contact	Update	Profile Change Request	Meyer, Brad Lee CEO People's Health Center 4024705424	Meyer, Brad Lee Chief Executive Officer People's Health Center 4024705424	10/2/2017 1:58 PM
Contacts	Authorizing Official	Update		Meyer, Brad CEO 4024705424	Meyer, Brad Lee CEO People's Health Center 4024705424	10/2/2017 12:20 PM
Contacts	Primary Contact	Update		Meyer, Brad CEO 4024705424	Meyer, Brad Lee CEO People's Health Center 4024705424	10/2/2017 12:20 PM
Contacts	Authorizing Official	Insert			Meyer, Brad CEO 4024705424	7/5/2017 4:56 PM
Contacts	Primary Contact	Insert			Meyer, Brad CEO 4024705424	7/5/2017 4:56 PM
Contacts	Signed By	Insert			Bundy, Mary Chief Financial Officer 4024705421	6/9/2017 7:55 AM
Addresses	Main Address	Insert			2301 O St. LINCOLN, NE 68510	1/25/2017 9:25 AM
Details	Last Recertification Date	Update		2/22/2016 12:00:00 AM	1/25/2017 12:00:00 AM	1/25/2017 9:24 AM
Addresses	Billing Address	Insert			People's Health Center PO Box 83947 Lincoln, NE 68501	7/13/2016 9:22 AM
Details	Last Recertification Date	Update			2/22/2016 12:00:00 AM	2/22/2016 3:38 PM
Dates	Participating Approval Date	Update			10/16/2015 12:00:00 AM	10/16/2015 5:31 PM
Details	State	Update		Pending	Active	10/16/2015 5:31 PM
Dates	Start Date	Update			1/1/2016 12:00:00 AM	10/16/2015 5:31 PM
Details	340B ID	Update		ONLINE_REG_55256	CH07817B	10/16/2015 12:52 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_55256	10/13/2015 1:02 PM
Details	Last Recertification Date	Insert				10/13/2015 1:02 PM
Details	Grant Number	Insert			H80CS00236	10/13/2015 1:02 PM
Details	340B ID	Insert			ONLINE_REG	10/13/2015 1:02 PM
Details	Is Authorizing Official EHB Data	Insert			False	10/13/2015 1:02 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/13/2015 1:02 PM
Details	Medicare Provider Number	Insert				10/13/2015 1:02 PM
Details	Entity Name	Insert			PEOPLES' HEALTH CENTER	10/13/2015 1:02 PM
Details	Program Code	Insert			CH	10/13/2015 1:02 PM
Details	Entity Subname	Insert			Health 360	10/13/2015 1:02 PM
Dates	Participating Approval Date	Insert				10/13/2015 1:02 PM
Details	State	Insert			Pending	10/13/2015 1:02 PM
Dates	Registration Date	Insert			10/13/2015 12:00:00 AM	10/13/2015 1:02 PM
Dates	Signed By Date	Insert			10/13/2015 12:00:00 AM	10/13/2015 1:02 PM
Dates	Start Date	Insert				10/13/2015 1:02 PM
Terminations	Termination Comments	Insert				10/13/2015 1:02 PM
Terminations	Termination Date	Insert				10/13/2015 1:02 PM
Terminations	Termination Effective Date	Insert				10/13/2015 1:02 PM
Terminations	Termination Reason	Insert				10/13/2015 1:02 PM

340B Drug Pricing Program Database