| Details | State | Update | | To Be Terminated | Terminated | 4/1/2024 12:01 AM |
| Dates | Last Date That 340B Drugs Purchased | Update | Recertification | | 1/1/2024 12:00:00 AM | 2/7/2024 12:31 PM |
| Details | State | Update | Recertification | Active | To Be Terminated | 2/7/2024 12:31 PM |
| Terminations | Termination Comments | Update | Recertification | | Site no longer active. Is no longer on Entity's Scope on Form 5B. | 2/7/2024 12:31 PM |
| Terminations | Termination Date | Update | Recertification | | 4/1/2024 12:00:00 AM | 2/7/2024 12:31 PM |
| Terminations | Termination Effective Date | Update | Recertification | | 1/1/2024 12:00:00 AM | 2/7/2024 12:31 PM |
| Terminations | Termination Reason | Update | Recertification | | Site closure | 2/7/2024 12:31 PM |
| Contacts | Primary Contact | Update | Profile Change Request | Ramirez, Jina
Director of Operations
Community Health Partnership of Illinois
3127950000-225 | Ramirez, Jina
Vice President of Operations
Community Health Partnership of Illinois
3127950000-225 | 1/29/2024 3:19 PM |
| Details | Last Recertification Date | Update | Recertification | 2/2/2022 11:11:57 AM | 1/31/2023 12:10:06 PM | 1/31/2023 12:10 PM |
| Details | Last Recertification Date | Update | Recertification | 2/1/2021 7:07:59 PM | 2/2/2022 11:11:57 AM | 2/2/2022 11:11 AM |
| Details | Last Recertification Date | Update | Recertification | | 2/1/2021 7:07:59 PM | 2/1/2021 7:07 PM |
| Details | State | Update | OPA Edit | Approved | Active | 4/6/2020 1:29 PM |
| Dates | Start Date | Update | OPA Edit | 7/1/2020 12:00:00 AM | 4/6/2020 12:00:00 AM | 4/6/2020 1:29 PM |
| Contacts | Authorizing Official | Update | Reinstatement | Bauer, Susan
Executive Dirctor
Community Health Partnership of Illinois
3127950000-222 | Sawyers, Eleace Erica
Chief Executive Officer
Community Health Partnership of Illinois
7862991724 | 4/6/2020 12:58 PM |
| Contacts | Signed By | Update | Reinstatement | Bauer, Susan
Executive Dirctor
Community Health Partnership of Illinois
3127950000-222 | Sawyers, Eleace Erica
Chief Executive Officer
Community Health Partnership of Illinois
7862991724 | 4/6/2020 12:58 PM |
| Details | Last Recertification Date | Update | Reinstatement | 2/26/2018 2:06:54 PM | | 4/6/2020 12:58 PM |
| Dates | Last Date That 340B Drugs Purchased | Update | Reinstatement | 7/1/2001 12:00:00 AM | | 4/6/2020 12:58 PM |
| Details | Entity Subname | Update | Reinstatement | Multicultural Community Center (Migrant Head Start) | Multicultural Community Center | 4/6/2020 12:58 PM |
| Dates | Participating Approval Date | Update | Reinstatement | 10/20/2015 12:00:00 AM | 4/6/2020 12:58:04 PM | 4/6/2020 12:58 PM |
| Details | State | Update | Reinstatement | Terminated | Approved | 4/6/2020 12:58 PM |
| Dates | Registration Date | Update | Reinstatement | 10/14/2015 12:00:00 AM | 4/3/2020 11:03:18 AM | 4/6/2020 12:58 PM |
| Dates | Signed By Date | Update | Reinstatement | 10/14/2015 12:00:00 AM | 4/3/2020 11:03:21 AM | 4/6/2020 12:58 PM |
| Dates | Start Date | Update | Reinstatement | 1/1/2016 12:00:00 AM | 7/1/2020 12:00:00 AM | 4/6/2020 12:58 PM |
| Terminations | Termination Date | Update | Reinstatement | 4/1/2019 12:00:00 AM | | 4/6/2020 12:58 PM |
| Terminations | Termination Effective Date | Update | Reinstatement | 7/1/2001 12:00:00 AM | | 4/6/2020 12:58 PM |
| Terminations | Termination Reason | Update | Reinstatement | Business decision by the Covered Entity | | 4/6/2020 12:58 PM |
| Details | Comments Public | Insert | Reinstatement | | Participating 1/1/2016 until terminated effective 4/1/2019, reinstated effective 4/6/20. | 4/6/2020 12:10 PM |
| Details | State | Update | | To Be Terminated | Terminated | 4/1/2019 12:05 AM |
| Dates | Last Date That 340B Drugs Purchased | Update | Recertification | | 7/1/2001 12:00:00 AM | 2/11/2019 9:05 AM |
| Details | State | Update | Recertification | Active | To Be Terminated | 2/11/2019 9:05 AM |
| Terminations | Termination Date | Update | Recertification | | 4/1/2019 12:00:00 AM | 2/11/2019 9:05 AM |
| Terminations | Termination Effective Date | Update | Recertification | | 7/1/2001 12:00:00 AM | 2/11/2019 9:05 AM |
| Terminations | Termination Reason | Update | Recertification | | Business decision by the Covered Entity | 2/11/2019 9:05 AM |
| Contacts | Primary Contact | Update | Recertification | Bauer, Susan
Executive Dirctor
Community Health Partnership of Illinois
3127950000-222 | Ramirez, Jina
Director of Operations
Community Health Partnership of Illinois
3127950000-225 | 2/26/2018 2:06 PM |
| Details | Last Recertification Date | Update | Recertification | 2/17/2017 12:00:00 AM | 2/26/2018 2:06:54 PM | 2/26/2018 2:06 PM |
| Details | Is Authorizing Official EHB Data | Update | Recertification | False | | 2/26/2018 2:06 PM |
| Contacts | Authorizing Official | Update | | Bauer, Susan
Executive Dirctor
3127950000-222 | Bauer, Susan
Executive Dirctor
Community Health Partnership of Illinois
3127950000-222 | 2/26/2018 1:45 PM |
| Contacts | Primary Contact | Update | | Bauer, Susan
Executive Dirctor
3127950000-222 | Bauer, Susan
Executive Dirctor
Community Health Partnership of Illinois
3127950000-222 | 2/26/2018 1:45 PM |
| Contacts | Signed By | Update | | Bauer, Susan
Executive Dirctor
3127950000-222 | Bauer, Susan
Executive Dirctor
Community Health Partnership of Illinois
3127950000-222 | 2/26/2018 1:45 PM |
| Addresses | Main Address | Insert | | |
1126 Country Club Ln
Rantoul, IL 61866-3564 | 2/17/2017 2:02 PM |
| Contacts | Authorizing Official | Insert | | | Bauer, Susan
Executive Dirctor
3127950000-222 | 2/17/2017 2:02 PM |
| Contacts | Primary Contact | Insert | | | Bauer, Susan
Executive Dirctor
3127950000-222 | 2/17/2017 2:02 PM |
| Contacts | Signed By | Insert | | | Bauer, Susan
Executive Dirctor
3127950000-222 | 2/17/2017 2:02 PM |
| Details | Last Recertification Date | Update | | 3/6/2016 12:00:00 AM | 2/17/2017 12:00:00 AM | 2/17/2017 2:02 PM |
| Details | Last Recertification Date | Update | | | 3/6/2016 12:00:00 AM | 3/7/2016 12:44 PM |
| Dates | Participating Approval Date | Update | | | 10/20/2015 12:00:00 AM | 10/20/2015 4:02 PM |
| Details | State | Update | | Pending | Active | 10/20/2015 4:02 PM |
| Dates | Start Date | Update | | | 1/1/2016 12:00:00 AM | 10/20/2015 4:02 PM |
| Details | 340B ID | Update | | ONLINE_REG_55559 | CH05006R | 10/15/2015 12:44 PM |
| Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_55559 | 10/14/2015 10:02 AM |
| Details | Last Recertification Date | Insert | | | | 10/14/2015 10:02 AM |
| Details | Grant Number | Insert | | | H80CS00748 | 10/14/2015 10:02 AM |
| Details | 340B ID | Insert | | | ONLINE_REG | 10/14/2015 10:02 AM |
| Details | Is Authorizing Official EHB Data | Insert | | | False | 10/14/2015 10:02 AM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 10/14/2015 10:02 AM |
| Details | Medicare Provider Number | Insert | | | | 10/14/2015 10:02 AM |
| Details | Entity Name | Insert | | | COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS | 10/14/2015 10:02 AM |
| Details | Program Code | Insert | | | CH | 10/14/2015 10:02 AM |
| Details | Entity Subname | Insert | | | Multicultural Community Center (Migrant Head Start) | 10/14/2015 10:02 AM |
| Dates | Participating Approval Date | Insert | | | | 10/14/2015 10:02 AM |
| Details | State | Insert | | | Pending | 10/14/2015 10:02 AM |
| Dates | Registration Date | Insert | | | 10/14/2015 12:00:00 AM | 10/14/2015 10:02 AM |
| Dates | Signed By Date | Insert | | | 10/14/2015 12:00:00 AM | 10/14/2015 10:02 AM |
| Dates | Start Date | Insert | | | | 10/14/2015 10:02 AM |
| Terminations | Termination Comments | Insert | | | | 10/14/2015 10:02 AM |
| Terminations | Termination Date | Insert | | | | 10/14/2015 10:02 AM |
| Terminations | Termination Effective Date | Insert | | | | 10/14/2015 10:02 AM |
| Terminations | Termination Reason | Insert | | | | 10/14/2015 10:02 AM |