Covered Entity Details

CHC24102-01 BIGHORN VALLEY HEALTH CENTER, INC (Active) - information as of 5/5/2025 10:01:52 PM

Main Details

Name

BIGHORN VALLEY HEALTH CENTER, INC

Subdivision Name

One Health - Ashland

Type

HRSA-Funded Health Center

Site ID

BPS-H80-017520

340B ID

CHC24102-01

Grant Number

H80CS24102

Additional Details

Current Program Status

Active

Registration Date

4/1/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/12/2016

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Bighorn Valley Health Center, Inc.
David A. Mark, Chief Executive Officer
(406) 665-4103

Primary Contact

Bighorn Valley Health Center, Inc
Stephanie Chosa, Chief Pharmacist
(406) 665-4103

Addresses

Street Address

501 Main St
Ashland, MT 59003-7701

Billing Address

Bighorn Valley Health Center, Inc dba Bighorn Valley Pharmacy
10 West 4th Street STE B
Hardin, MT 59034

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?
Yes

State	Medicaid Number	NPI Number
MT		1932575149

Shipping Addresses

Shipping Address 1

Bighorn Valley Health Center, Inc dba Bighorn Valley Pharmacy
10 West 4th Street STE B
Hardin, MT 59034

Shipping Address 2

Bighorn Valley Health Center, Inc dba oneHealth Pharmacy
305 S 4th St
Miles City, MT 59301-4113

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
Contract Detail	ALBERTSONS LLC	OSCO PHARMACY #4023	307 NORTH HARMON	GLENDIVE	MT	59330	04/15/2025	07/01/2025			04/15/2025

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH0811490	Active	BPS-H80-027034	Bighorn Valley Health Center, Inc	One Health - Miles City	305 S 4th St	Miles City	MT
CHC24102-00	Active	BPS-H80-011775	BIGHORN VALLEY HEALTH CENTER, INC	One Health - Bighorn	10 West 4th Street STE B	Hardin	MT
CHC24102-01	Active	BPS-H80-017520	BIGHORN VALLEY HEALTH CENTER, INC	One Health - Ashland	501 Main St	Ashland	MT
CHC24102-02	Active	BPS-H80-018902	BIGHORN VALLEY HEALTH CENTER, INC	BVHC St. Labre	1000 Tongue River Rd	Ashland	MT
CHC24102-03	Active	BPS-H80-027311	BIGHORN VALLEY HEALTH CENTER, INC	One Health - Sweet	419 Pennsylvania St	Chinook	MT
CHC24102-04	Active	BPS-H80-035815	BIGHORN VALLEY HEALTH CENTER, INC	One Health - Lewistown	311 W Main St	Lewistown	MT
CHC24102-05	Active	BPS-H80-033926	BIGHORN VALLEY HEALTH CENTER, INC	One Health - Harlem	530 Central Ave West	Harlem	MT
CHC24102-06	Active	BPS-H80-029786	Bighorn Valley Health Center, Inc	One Health - Miles City Dental	2811 Comstock St	Miles City	MT
CHC24102-07	Active	BPS-H80-030276	Bighorn Valley Health Center, Inc	One Health - Campus	1223 N Center Ave	Hardin	MT
CHC24102-08	Active	BPS-H80-037451	Bighorn Valley Health Center, Inc	One Health - Glendive	1515 W Bell ST Unit 15	Glendive	MT
CHC24102-09	Active	BPS-H80-034451	BIGHORN VALLEY HEALTH CENTER INC	One Health - Sheridan	201 E 5th St	Sheridan	WY
CHC24102-10	Active	BPS-H80-040012	BIGHORN VALLEY HEALTH CENTER INC	One Health - Powell	1201 E 7th St	Powell	WY
CHC24102-11	Active	BPS-H80-035949	BIGHORN VALLEY HEALTH CENTER INC	One Health - Lovell	229 E Main St	Lovell	WY
CHC24102-12	Active	BPS-H80-035945	BIGHORN VALLEY HEALTH CENTER INC	One Health - Greybull	444 Greybull Ave	Greybull	WY
CHC24102-13	Active	BPS-H80-037191	BIGHORN VALLEY HEALTH CENTER INC	One Health - Hardin Clinic	16 N. Miles Ave. STE 101	Hardin	MT
CHC24102-14	Active	BPS-H80-038321	BIGHORN VALLEY HEALTH CENTER INC	One Health - Cody Clinic	902 Blackburn St. STE F	Cody	WY
CHC24102-15	Active	BPS-H80-038433	BIGHORN VALLEY HEALTH CENTER INC	One Health - Whitney Building	31 E Whitney St	Sheridan	WY
CHC24102-16	Active	BPS-H80-038846	BIGHORN VALLEY HEALTH CENTER INC	One Health - Panther Clinic	410 Triple Crown St RM A108	Belgrade	MT
CHC24102-17	Active	BPS-H80-038850	BIGHORN VALLEY HEALTH CENTER INC	One Health - Belgrade	19 E Main St	Belgrade	MT
CHC24102-18	Active	BPS-H80-038848	BIGHORN VALLEY HEALTH CENTER INC	One Health - Community Partners	1695 Tschache Ln	Bozeman	MT
CHC24102-19	Active	BPS-H80-038851	BIGHORN VALLEY HEALTH CENTER INC	One Health - Community Health Partners	112 West Lewis Street	Livingston	MT
CHC24102-20	Active	BPS-H80-036027	BIGHORN VALLEY HEALTH CENTER INC	One Health - CMHD	333 2nd Ave N. STE 2	Lewistown	MT
CHC24102-21	Active	BPS-H80-035944	BIGHORN VALLEY HEALTH CENTER INC	One Health - Mobile Medical Van	128 N Bent St	Powell	WY

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC24102-00	ALBERTSONS LLC	OSCO PHARMACY #19	117 WEST JANEAUX	LEWISTOWN	MT	59457	04/01/2019
CHC24102-00	ALBERTSONS LLC	OSCO PHARMACY #39	519 SOUTH HAYNES AVENUE	MILES CITY	MT	59301	04/01/2020
CH0811490	ALBERTSONS LLC	OSCO PHARMACY #39	519 SOUTH HAYNES AVENUE	MILES CITY	MT	59301	04/01/2020
CHC24102-00	ALBERTSONS LLC	OSCO PHARMACY #4023	307 NORTH HARMON	GLENDIVE	MT	59330	07/01/2021
CHC24102-00	ALBERTSONS LLC	OSCO PHARMACY #42	2120 PARK STREET SOUTH	LIVINGSTON	MT	59047	07/01/2024
CHC24102-00	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	07/01/2024
CHC24102-16	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	10/01/2024
CHC24102-06	ALBERTSONS LLC	OSCO PHARMACY #39	519 SOUTH HAYNES AVENUE	MILES CITY	MT	59301	01/01/2025
CHC24102-21	ALBERTSONS LLC	OSCO PHARMACY #19	117 WEST JANEAUX	LEWISTOWN	MT	59457	01/01/2025
CHC24102-07	ALBERTSONS LLC	OSCO PHARMACY #42	2120 PARK STREET SOUTH	LIVINGSTON	MT	59047	07/01/2025
CHC24102-01	ALBERTSONS LLC	OSCO PHARMACY #4023	307 NORTH HARMON	GLENDIVE	MT	59330	07/01/2025
CH0811490	BIG SKY PHARMACY	ATTN: JAMES MICHAEL ETCHEMENDY, PERSON I	701 MAIN ST P. O. BOX 1299	MILES CITY	MT	59301	06/17/2005	10/12/2018
CHC24102-00	CHINOOK PHARMACY INC	ATTN: ANGELA BILLMAYER, PHARMACIST IN CH	300 INDIANA ST	CHINOOK	MT	59523	04/01/2019
CHC24102-03	CHINOOK PHARMACY INC	ATTN: ANGELA BILLMAYER, PHARMACIST IN CH	300 INDIANA ST	CHINOOK	MT	59523	01/01/2024
CHC24102-00	GREYBULL DRUG, LLC	925 N. 6TH ST		GREYBULL	WY	82426	07/01/2024
CHC24102-12	GREYBULL DRUG, LLC	925 N. 6TH ST		GREYBULL	WY	82426	07/01/2024
CHC24102-00	HOSPITAL PHARMACY	1 S MAIN ST		SHERIDAN	WY	82801-4221	04/01/2023
CHC24102-09	HOSPITAL PHARMACY	1 S MAIN ST		SHERIDAN	WY	82801-4221	01/01/2024
CHC24102-00	HOSPITAL PHARMACY WEST	1333 W 5TH ST STE 107		SHERIDAN	WY	82801-2752	01/01/2023
CHC24102-09	HOSPITAL PHARMACY WEST	1333 W 5TH ST STE 107		SHERIDAN	WY	82801-2752	01/01/2024
CHC24102-15	HOSPITAL PHARMACY WEST	1333 W 5TH ST STE 107		SHERIDAN	WY	82801-2752	01/01/2025
CHC24102-00	LEE AND DADS GROCERY, INC	DBA TOWN AND COUNTRY FOODS	205 W MADISON AVE	BELGRADE	MT	59714	07/01/2024
CHC24102-13	LEE AND DADS GROCERY, INC	DBA TOWN AND COUNTRY FOODS	205 W MADISON AVE	BELGRADE	MT	59714	07/01/2025
CHC24102-00	MILK RIVER PHARMACY	42465 US HIGHWAY 2	PO BOX 965	HARLEM	MT	59526-0965	04/01/2019
CHC24102-05	MILK RIVER PHARMACY	42465 US HIGHWAY 2	PO BOX 965	HARLEM	MT	59526-0965	01/01/2024
CHC24102-00	NEW ALBERTSONS INC #02023		DBA OSCO PHARMACY 307 NORTH HARMON	GLENDIVE	MT	59330	07/01/2021	05/24/2021
CHC24102-00	POWELL DRUG	140 N BENT ST		POWELL	WY	82435	10/01/2022
CHC24102-10	POWELL DRUG	140 N BENT ST		POWELL	WY	82435	01/01/2024
CHC24102-00	PRICE RITE DRUG	910 N 7TH AVE		BOZEMAN	MT	59715-2500	07/01/2024
CHC24102-17	PRICE RITE DRUG	910 N 7TH AVE		BOZEMAN	MT	59715-2500	10/01/2024
CHC24102-00	SEIDEN DRUG COMPANY INC	ATTN: PHARMACIST IN CHARGE	310 WENDELL AVE STE 102	LEWISTOWN	MT	59457-2267	10/01/2019
CHC24102-20	SEIDEN DRUG COMPANY INC	ATTN: PHARMACIST IN CHARGE	310 WENDELL AVE STE 102	LEWISTOWN	MT	59457-2267	01/01/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/2/2024 9:53:36 AM	2/10/2025 1:41:43 PM	2/10/2025 1:41 PM
Details	Last Recertification Date	Update	Recertification	2/7/2023 9:47:52 AM	2/2/2024 9:53:36 AM	2/2/2024 9:53 AM
Addresses	Billing Address	Insert	Recertification		Bighorn Valley Health Center, Inc dba Bighorn Valley Pharmacy 10 West 4th Street STE B Hardin, MT 59034	2/7/2023 9:47 AM
Details	Last Recertification Date	Update	Recertification	2/1/2022 11:07:48 AM	2/7/2023 9:47:52 AM	2/7/2023 9:47 AM
Addresses	Shipping Address	Delete	Change Request	Bighorn Valley Health Center, Inc dba Bighorn Valley Pharmacy - Ashland 501 Main St Ashland, MT 59003-7701		11/30/2022 12:23 PM
Addresses	Shipping Address	Insert	Change Request		Bighorn Valley Health Center, Inc dba oneHealth Pharmacy 305 S 4th St Miles City, MT 59301-4113	3/20/2022 9:23 AM
Details	Last Recertification Date	Update	Recertification	2/4/2021 12:11:36 PM	2/1/2022 11:07:48 AM	2/1/2022 11:07 AM
Addresses	Shipping Address	Insert	Change Request		Bighorn Valley Health Center, Inc dba Bighorn Valley Pharmacy 10 West 4th Street STE B Hardin, MT 59034	11/22/2021 7:55 AM
Details	Entity Subname	Update	Change Request	BVHC Ashland	One Health - Ashland	11/2/2021 7:27 AM
Medicaid Billing	NPI: State	Update	Recertification		MT	2/4/2021 12:11 PM
Details	Last Recertification Date	Update	Recertification	1/30/2020 1:59:20 PM	2/4/2021 12:11:36 PM	2/4/2021 12:11 PM
Addresses	Shipping Address	Delete	Change Request	Bighorn Valley Health Center, Inc dba Bighorn Valley Pharmacy - Ashland 501 Main Street Ashland, MT 59003-0047		2/3/2020 12:33 PM
Addresses	Shipping Address	Insert	Change Request		Bighorn Valley Health Center, Inc dba Bighorn Valley Pharmacy - Ashland 501 Main St Ashland, MT 59003-7701	2/3/2020 12:33 PM
Addresses	Main Address	Update	Change Request	501 MAIN STREET ASHLAND, MT 59003-0047	501 Main St Ashland, MT 59003-7701	2/3/2020 12:33 PM
Details	Last Recertification Date	Update	Recertification	1/30/2019 11:53:58 AM	1/30/2020 1:59:20 PM	1/30/2020 1:59 PM
Addresses	Shipping Address	Insert	Change Request		Bighorn Valley Health Center, Inc dba Bighorn Valley Pharmacy - Ashland 501 Main Street Ashland, MT 59003-0047	6/25/2019 10:20 AM
Details	Is Authorizing Official EHB Data	Update	Change Request	False		6/25/2019 10:20 AM
Details	Last Recertification Date	Update	Recertification	2/15/2018 1:39:50 PM	1/30/2019 11:53:58 AM	1/30/2019 11:53 AM
Contacts	Authorizing Official	Update	Profile Change Request	Mark, David A. Cheif Executive Officer BVHC.oneHealth 4066654103	Mark, David A. Chief Executive Officer Bighorn Valley Health Center, Inc. 4066654103	2/15/2018 1:43 PM
Contacts	Signed By	Update	Profile Change Request	Mark, David A. Cheif Executive Officer BVHC.oneHealth 4066654103	Mark, David A. Chief Executive Officer Bighorn Valley Health Center, Inc. 4066654103	2/15/2018 1:43 PM
Details	Last Recertification Date	Update	Recertification	2/1/2017 12:00:00 AM	2/15/2018 1:39:50 PM	2/15/2018 1:39 PM
Contacts	Authorizing Official	Update	Recertification	Mark, David A. Cheif Executive Officer 4066654103	Mark, David A. Cheif Executive Officer BVHC.oneHealth 4066654103	2/9/2018 11:48 AM
Contacts	Signed By	Update	Recertification	Mark, David A. Cheif Executive Officer 4066654103	Mark, David A. Cheif Executive Officer BVHC.oneHealth 4066654103	2/9/2018 11:48 AM
Contacts	Primary Contact	Update		Chosa, Stephanie Chief Pharmacist 4066654103	Chosa, Stephanie Chief Pharmacist Bighorn Valley Health Center, Inc 4066654103	1/10/2018 9:41 PM
Addresses	Main Address	Insert			501 MAIN STREET ASHLAND, MT 59003-0047	2/1/2017 5:27 PM
Contacts	Primary Contact	Insert			Chosa, Stephanie Chief Pharmacist 4066654103	2/1/2017 5:27 PM
Contacts	Authorizing Official	Insert			Mark, David A. Cheif Executive Officer 4066654103	2/1/2017 5:27 PM
Contacts	Signed By	Insert			Mark, David A. Cheif Executive Officer 4066654103	2/1/2017 5:27 PM
Details	Last Recertification Date	Update			2/1/2017 12:00:00 AM	2/1/2017 5:27 PM
Dates	Participating Approval Date	Update			4/12/2016 12:00:00 AM	4/12/2016 12:19 PM
Details	State	Update		Pending	Active	4/12/2016 12:19 PM
Dates	Start Date	Update			7/1/2016 12:00:00 AM	4/12/2016 12:19 PM
Details	340B ID	Update		ONLINE_REG_58734	CHC24102-01	4/8/2016 2:13 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_58734	4/1/2016 12:51 PM
Medicaid Billing	NPI: Number	Insert			1932575149	4/1/2016 12:51 PM
Details	Last Recertification Date	Insert				4/1/2016 12:51 PM
Details	Grant Number	Insert			H80CS24102	4/1/2016 12:51 PM
Details	340B ID	Insert			ONLINE_REG	4/1/2016 12:51 PM
Details	Is Authorizing Official EHB Data	Insert			False	4/1/2016 12:51 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/1/2016 12:51 PM
Details	Medicare Provider Number	Insert				4/1/2016 12:51 PM
Details	Entity Name	Insert			BIGHORN VALLEY HEALTH CENTER, INC	4/1/2016 12:51 PM
Details	Program Code	Insert			CH	4/1/2016 12:51 PM
Details	Entity Subname	Insert			BVHC Ashland	4/1/2016 12:51 PM
Dates	Participating Approval Date	Insert				4/1/2016 12:51 PM
Details	State	Insert			Pending	4/1/2016 12:51 PM
Dates	Registration Date	Insert			4/1/2016 12:00:00 AM	4/1/2016 12:51 PM
Dates	Signed By Date	Insert			4/1/2016 12:00:00 AM	4/1/2016 12:51 PM
Dates	Start Date	Insert				4/1/2016 12:51 PM
Terminations	Termination Comments	Insert				4/1/2016 12:51 PM
Terminations	Termination Date	Insert				4/1/2016 12:51 PM
Terminations	Termination Effective Date	Insert				4/1/2016 12:51 PM
Terminations	Termination Reason	Insert				4/1/2016 12:51 PM

340B Drug Pricing Program Database