Covered Entity Details

CH05644H OHIO NORTH EAST HEALTH SYSTEMS, INC. (Active) - information as of 6/8/2025 1:03:06 AM

Main Details

Name

OHIO NORTH EAST HEALTH SYSTEMS, INC.

Subdivision Name

Newton Falls Community Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-015551

340B ID

CH05644H

Grant Number

H80CS00196

Additional Details

Current Program Status

Active

Registration Date

4/11/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/13/2016

Last Recertification Date

2/24/2025

Contacts

Authorizing Official

ONE Health Ohio
Ronald Dwinnells, CEO
(330) 747-2330

Primary Contact

Ohio North East Health Systems, Inc.
William Charles Fitch, Pharmacist
(884) 652-8219 Ext: 77190

Addresses

Street Address

175 E BROAD ST
NEWTON FALLS, OH 44444-1708

Billing Address

Ohio North East Health Systems, Inc.
726 Wick Avenue
Youngstown, OH 44505

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
OH	0166559	1477920205

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
Contract Detail	RITE AID OF OHIO, INC.	RITE AID #4280	325 WEST BROAD STREET	NEWTON FALLS	OH	44444	10/13/2023	01/01/2024		08/07/2024	10/07/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH056440	Active	BPS-H80-000656	OHIO NORTH EAST HEALTH SYSTEMS INC	Youngstown Community Health Center	726 Wick Ave	Youngstown	OH
CH05644B	Active	BPS-H80-005613	OHIO NORTH EAST HEALTH SYSTEMS INC	WARREN WEST COMMUNITY HEALTH CTR	716 Tod Ave SW	Warren	OH
CH05644C	Active	BPS-H80-012049	OHIO NORTH EAST HEALTH SYSTEMS INC	Good Samaritan Community Health Center	1390 S Arch Ave	Alliance	OH
CH05644D	Active	BPS-H80-008937	OHIO NORTH EAST HEALTH SYSTEMS INC	Lloyd McCoy Community Health Center	1977 Niles Rd SE	Warren	OH
CH05644E	Terminated	BPS-H80-019227	Ohio North East Health Systems, Inc.	East Market Street Warren	1032 E Market St	Warren	OH
CH05644F	Active	BPS-H80-011470	OHIO NORTH EAST HEALTH SYSTEMS INC	Kidz 1st Pediatrics	1821 E Market St	Warren	OH
CH05644G	Active	BPS-H80-009589	OHIO NORTH EAST HEALTH SYSTEMS, INC.	Mobile Health Van	716 Tod Ave SW	Warren	OH
CH05644H	Active	BPS-H80-015551	OHIO NORTH EAST HEALTH SYSTEMS, INC.	Newton Falls Community Health Center	175 E BROAD ST	NEWTON FALLS	OH
CH05644J	Active	BPS-H80-019226	Ohio North East Health Systems, Inc.	RISE Recovery	3132 Belmont Avenue	Youngstown	OH
CH05644K	Active	BPS-H80-027149	Ohio North East Health Systems, Inc.	Premier Care Pediatrics	2642 State Route 5	Cortland	OH
CH05644L	Terminated	BPS-H80-027618	Ohio North East Health Systems, Inc.	Northside Dental Center	500 Gypsy Lane FL 3	Youngstown	OH

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH056440	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	07/01/2024
CH056440	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2024
CH056440	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2024
CH056440	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2024
CH056440	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2024
CH056440	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2024
CH056440	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2024
CH056440	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2024
CH056440	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2024
CH056440	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2024
CH056440	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2024
CH056440	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2024
CH056440	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2024
CH056440	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2024
CH05644C	EASTERDAY PHARMACY		1696 SOUTH ARCH AVENUE	ALLIANCE	OH	44601	03/03/2011	03/27/2019
CH056440	FRANKLIN PHARM & HEALTH CARE	1732 YOUNGSTOWN RD SE		WARREN	OH	44484	07/01/2013	05/24/2023
CH05644B	FRANKLIN PHARM & HEALTH CARE	1732 YOUNGSTOWN RD SE		WARREN	OH	44484	10/27/2010	05/24/2023
CH056440	GENOA HEALTHCARE LLC	726 WICK AVE		YOUNGSTOWN	OH	44505	09/19/2012
CH05644D	GENOA HEALTHCARE LLC	1977 NILES ROAD S.E.		WARREN	OH	44484	09/19/2012	01/01/2024
CH056440	GENOA HEALTHCARE LLC	1977 NILES ROAD S.E.		WARREN	OH	44484	01/01/2024
CH056440	GENOA HEALTHCARE LLC	150 E MARKET ST	ROOM 100	WARREN	OH	44481	07/01/2024	08/23/2024
CH056440	GENOA HEALTHCARE LLC	103 W MARKET ST STE P	THE ATRIUM BLDG	WARREN	OH	44481	01/01/2025
CH056440	GIANT EAGLE PHARMACY #0221	20160 CENTER RIDGE ROAD, SUITE 201		ROCKY RIVER	OH	44116	07/01/2019
CH056440	GIANT EAGLE PHARMACY #1419	2061 ELM ROAD		WARREN	OH	44483	07/01/2019
CH056440	GIANT EAGLE PHARMACY #1605	1800 WEST STATE ST		ALLIANCE	OH	44601	07/01/2021
CH056440	GIANT EAGLE PHARMACY #4056	2700 MAHONING AVE N.W.		WARREN	OH	44483	07/01/2019
CH056440	GIANT EAGLE PHARMACY #8991	2500 LOVI RD		FREEDOM	PA	15042	07/01/2019
CH056440	NEWTON FALLS PHARMACY, INC.	37 RIDGE RD		NEWTON FALLS	OH	44444	07/01/2016	02/22/2019
CH056440	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03304	3933 PARKMAN ROAD NW	WARREN	OH	44481	04/01/2020
CH056440	OHIO CVS STORES, L.L.C.	CVS PHARMACY # 16644	5555 YOUNGSTOWN WARREN RD	NILES	OH	44446	04/01/2020
CH056440	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04606	620 E MARKET ST	WARREN	OH	44481	04/01/2020
CH056440	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04636	311 PARK AVE.	YOUNGSTOWN	OH	44504	04/01/2020	02/12/2024
CH056440	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03996	2846 MAHONING AVE	YOUNGSTOWN	OH	44509	07/01/2025
CH056440	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	07/01/2024
CH056440	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	01/01/2025
CH056440	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	07/01/2024
CH056440	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2024
CH056440	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2024
CH056440	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2024
CH056440	REM CORPORATION	DBA EASTERDAY PHARMACY	1696 SOUTH ARCH AVENUE	ALLIANCE	OH	44601	07/01/2013	03/27/2019
CH056440	RITE AID OF OHIO, INC.	RITE AID #3062	2154 ELM ROAD NE	WARREN	OH	44483	07/01/2021	02/05/2024
CH056440	RITE AID OF OHIO, INC.	RITE AID #4280	325 WEST BROAD STREET	NEWTON FALLS	OH	44444	07/01/2021	08/07/2024
CH056440	RITE AID OF OHIO, INC.	RITE AID #3109	1560 PARKMAN ROAD NW	WARREN	OH	44485	07/01/2021	06/27/2024
CH056440	RITE AID OF OHIO, INC.	RITE AID #3167	304 EAST STATE STREET	ALLIANCE	OH	44601	07/01/2023	07/01/2024
CH05644H	RITE AID OF OHIO, INC.	RITE AID #4280	325 WEST BROAD STREET	NEWTON FALLS	OH	44444	01/01/2024	08/07/2024
CH056440	WALGREEN CO.	DBA: WALGREENS # 01398	525 E MIDLOTHIAN BLVD	YOUNGSTOWN	OH	44502-2501	08/22/2011	05/14/2020
CH056440	WALGREEN CO.	DBA: WALGREENS #05549	804 W MARKET ST	WARREN	OH	44481-1038	08/22/2011
CH056440	WALGREEN CO.	DBA: WALGREENS # 06589	5501 MAHONING AVE	AUSTINTOWN	OH	44515-2316	08/22/2011
CH056440	WALGREEN CO.	DBA: WALGREENS # 06675	2560 BELMONT AVE	YOUNGSTOWN	OH	44505-2407	08/22/2011
CH056440	WALGREEN CO.	WALGREENS # 09669	15 S MAIN ST	HUBBARD	OH	44425	08/22/2011	08/29/2015
CH056440	WALGREEN CO.	DBA: WALGREENS #21360	2654 MCCARTNEY RD	YOUNGSTOWN	OH	44505	08/22/2011
CH056440	WALGREEN CO.	DBA: WALGREENS # 10569	2249 YOUNGSTOWN WARREN RD	NILES	OH	44446-4567	08/22/2011	08/29/2015
CH056440	WALGREEN CO.	DBA: WALGREENS #11730	600 S. MECCA ST.	CORTLAND	OH	44410	08/22/2011	08/29/2015
CH056440	WALGREEN CO.	DBA: WALGREENS #11964	40 N. MERIDIAN RD.	YOUNGSTOWN	OH	44509-2034	08/22/2011	08/29/2015
CH056440	WALGREEN CO.	DBA: WALGREENS # 09385	2012 S UNION	ALLIANCE	OH	44601	08/22/2011
CH056440	WALGREEN CO.	DBA: WALGREENS # 09377	2124 E STATE ST	SALEM	OH	44460-2455	08/22/2011	08/29/2015
CH056440	WALGREEN CO.	DBA: WALGREENS # 06888	5027 YOUNGSTOWN-WARREN RD	NILES	OH	44446-4905	10/01/2015
CH05644C	WALGREEN CO.	DBA: WALGREENS # 09385	2012 S UNION	ALLIANCE	OH	44601	01/01/2024
CH056440	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/14/2024 12:48:22 PM	2/24/2025 11:07:10 AM	2/24/2025 11:07 AM
Details	Last Recertification Date	Update	Recertification	2/23/2023 12:32:19 PM	2/14/2024 12:48:22 PM	2/14/2024 12:48 PM
Contacts	Primary Contact	Update	Group Change Request	Cole, Terri Administrative Assistant Ohio North East Health Systems, Inc. 3307472330	Fitch, William Charles Pharmacist Ohio North East Health Systems, Inc. 8846528219-77190	9/12/2023 9:27 AM
Details	Last Recertification Date	Update	Recertification	2/23/2022 10:46:55 AM	2/23/2023 12:32:19 PM	2/23/2023 12:32 PM
Details	Last Recertification Date	Update	Recertification	2/5/2021 11:57:09 AM	2/23/2022 10:46:55 AM	2/23/2022 10:46 AM
Medicaid Billing	NPI: State	Update	Recertification		OH	2/5/2021 11:57 AM
Details	Last Recertification Date	Update	Recertification	2/21/2020 9:54:10 AM	2/5/2021 11:57:09 AM	2/5/2021 11:57 AM
Details	Last Recertification Date	Update	Recertification	2/20/2019 5:34:32 PM	2/21/2020 9:54:10 AM	2/21/2020 9:54 AM
Contacts	Primary Contact	Update	Change Request	Woodyard, Candi Chief Operations Officer ONE Health Ohio 3307479551-77187	Cole, Terri Administrative Assistant Ohio North East Health Systems, Inc. 3307472330	10/7/2019 2:08 PM
Details	Last Recertification Date	Update	Recertification	2/16/2018 1:25:34 PM	2/20/2019 5:34:32 PM	2/20/2019 5:34 PM
Contacts	Primary Contact	Update	Recertification	Dwinnells, Ronald CEO ONE Health Ohio 3307472330	Woodyard, Candi Chief Operations Officer ONE Health Ohio 3307479551-77187	2/16/2018 1:25 PM
Details	Last Recertification Date	Update	Recertification	2/9/2017 12:00:00 AM	2/16/2018 1:25:34 PM	2/16/2018 1:25 PM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/16/2018 1:25 PM
Contacts	Authorizing Official	Update		Dwinnells, Ronald CEO 3307472330	Dwinnells, Ronald CEO ONE Health Ohio 3307472330	2/12/2018 11:48 AM
Contacts	Primary Contact	Update		Dwinnells, Ronald CEO 3307472330	Dwinnells, Ronald CEO ONE Health Ohio 3307472330	2/12/2018 11:48 AM
Contacts	Authorizing Official	Insert			Dwinnells, Ronald CEO 3307472330	7/26/2017 6:12 PM
Contacts	Primary Contact	Update		Cole, Terri Administrative Assistant 3307472330	Dwinnells, Ronald CEO 3307472330	7/26/2017 6:12 PM
Addresses	Main Address	Insert			175 E BROAD ST NEWTON FALLS, OH 44444-1708	7/10/2017 12:28 PM
Addresses	Billing Address	Insert			Ohio North East Health Systems, Inc. 726 Wick Avenue Youngstown, OH 44505	7/10/2017 12:28 PM
Contacts	Signed By	Insert			Slagle, Dionna CFO 3307479551-132	7/10/2017 12:28 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	2/9/2017 2:44 PM
Medicaid Billing	Medicaid: Number	Insert			0166559	2/9/2017 2:44 PM
Medicaid Billing	Medicaid: State	Insert			OH	2/9/2017 2:44 PM
Contacts	Primary Contact	Insert			Cole, Terri Administrative Assistant 3307472330	2/9/2017 2:44 PM
Details	Last Recertification Date	Update			2/9/2017 12:00:00 AM	2/9/2017 2:44 PM
Dates	Participating Approval Date	Update			4/13/2016 12:00:00 AM	4/13/2016 5:34 PM
Details	State	Update		Pending	Active	4/13/2016 5:34 PM
Dates	Start Date	Update			7/1/2016 12:00:00 AM	4/13/2016 5:34 PM
Details	340B ID	Update		ONLINE_REG_59596	CH05644H	4/13/2016 11:19 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_59596	4/11/2016 3:10 PM
Medicaid Billing	NPI: Number	Insert			1477920205	4/11/2016 3:10 PM
Details	Last Recertification Date	Insert				4/11/2016 3:10 PM
Details	Grant Number	Insert			H80CS00196	4/11/2016 3:10 PM
Details	340B ID	Insert			ONLINE_REG	4/11/2016 3:10 PM
Details	Is Authorizing Official EHB Data	Insert			False	4/11/2016 3:10 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/11/2016 3:10 PM
Details	Medicare Provider Number	Insert				4/11/2016 3:10 PM
Details	Entity Name	Insert			OHIO NORTH EAST HEALTH SYSTEMS, INC.	4/11/2016 3:10 PM
Details	Program Code	Insert			CH	4/11/2016 3:10 PM
Details	Entity Subname	Insert			Newton Falls Community Health Center	4/11/2016 3:10 PM
Dates	Participating Approval Date	Insert				4/11/2016 3:10 PM
Details	State	Insert			Pending	4/11/2016 3:10 PM
Dates	Registration Date	Insert			4/11/2016 12:00:00 AM	4/11/2016 3:10 PM
Dates	Signed By Date	Insert			4/11/2016 12:00:00 AM	4/11/2016 3:10 PM
Dates	Start Date	Insert				4/11/2016 3:10 PM
Terminations	Termination Comments	Insert				4/11/2016 3:10 PM
Terminations	Termination Date	Insert				4/11/2016 3:10 PM
Terminations	Termination Effective Date	Insert				4/11/2016 3:10 PM
Terminations	Termination Reason	Insert				4/11/2016 3:10 PM

340B Drug Pricing Program Database