Covered Entity Details

SCH450539-03 COVENANT HOSPITAL PLAINVIEW (Active) - information as of 6/1/2025 4:51:02 AM

Main Details

Name

COVENANT HOSPITAL PLAINVIEW

Subdivision Name

Covenant Plainview Rural Health Clinic

Type

Sole Community Hospital

Rural

340B ID

SCH450539-03

Medicare Provider Number

450539

Outpatient Facility Provider Number

458830

Additional Details

Current Program Status

Active

Registration Date

1/16/2017

Participating Start Date

4/1/2017

Participating Approval Date

2/27/2017

Last Recertification Date

9/9/2024

Contacts

Authorizing Official

Covenant Health
Cora Rivera, CFO
(806) 725-6547

Primary Contact

Covenant Health
Christine Farmer, Regional Executive Director of 340B Operations
(806) 725-6654

Addresses

Street Address

2606 YONKERS
PLAINVIEW, TX 79072-1851

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
SCH450539-01	Child	SCH	COVENANT HOSPITAL PLAINVIEW	RURAL HEALTH CLINIC / OB/GYN, FAMILY MEDICINE, PEDIATRICS	2222 WEST 24TH STREET	PLAINVIEW	TX	Active
SCH450539-02	Child	SCH	COVENANT HOSPITAL-PLAINVIEW	Motley County Clinic	1224 Main Street	Matador	TX	Terminated
SCH450539-03	Child	SCH	COVENANT HOSPITAL PLAINVIEW	Covenant Plainview Rural Health Clinic	2606 YONKERS	PLAINVIEW	TX	Active
SCH450539-04	Child	SCH	COVENANT HOSPITAL PLAINVIEW	METHODIST HOSPITAL PLAINVIEW TEXAS - Covenant Family Medical Clinic	1208 N. I-27	PLAINVIEW	TX	Active
SCH450539-05	Child	SCH	COVENANT HOSPITAL PLAINVIEW	METHODIST HOSPITAL PLAINVIEW TEXAS - Covenant West Texas Family Medicine Plainview RHC	1806 QUINCY ST	PLAINVIEW	TX	Active
SCH450539-06	Child	SCH	COVENANT HOSPITAL PLAINVIEW	METHODIST HOSPITAL PLAINVIEW TEXAS - Covenant West Texas Family Medicine Floydada RHC	901 W CROCKETT ST	FLOYDADA	TX	Active
SCH450539-07	Child	SCH	COVENANT HOSPITAL PLAINVIEW	METHODIST HOSPITAL PLAINVIEW TEXAS - Covenant West Texas Family Medicine Hale Center RHC	315 W CLEVELAND ST	HALE CENTER	TX	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/29/2023 8:16:27 AM	9/9/2024 9:26:39 AM	9/9/2024 9:26 AM
Contacts	Authorizing Official	Update	AO Change Request	Rivera, Cora Chief Financial Officer Covenant Health 8067256547	Rivera, Cora CFO Covenant Health 8067256547	9/6/2024 1:41 PM
Contacts	Authorizing Official	Update	Change Request	Bryan, Jennifer CFO Covenant Health 8062964265	Rivera, Cora Chief Financial Officer Covenant Health 8067256547	8/12/2024 2:28 PM
Details	Last Recertification Date	Update	Recertification	8/29/2022 4:56:54 PM	8/29/2023 8:16:27 AM	8/29/2023 8:16 AM
Details	Last Recertification Date	Update	Recertification	8/19/2021 8:21:22 AM	8/29/2022 4:56:54 PM	8/29/2022 4:56 PM
Details	Entity Name	Update	Change Request	COVENANT HOSPITAL-PLAINVIEW	COVENANT HOSPITAL PLAINVIEW	1/13/2022 10:39 AM
Details	Last Recertification Date	Update	Recertification	8/18/2020 12:27:48 PM	8/19/2021 8:21:22 AM	8/19/2021 8:21 AM
Contacts	Authorizing Official	Update	Change Request	Mogg, Cassie CFO Covenant Hospital Plainview 8062964265	Bryan, Jennifer CFO Covenant Health 8062964265	4/12/2021 12:56 PM
Details	Last Recertification Date	Update	Recertification	9/11/2019 12:01:29 PM	8/18/2020 12:27:48 PM	8/18/2020 12:27 PM
Details	Last Recertification Date	Update	Recertification	8/15/2018 5:22:43 PM	9/11/2019 12:01:29 PM	9/11/2019 12:01 PM
Details	Last Recertification Date	Update	Recertification	11/8/2017 1:57:52 PM	8/15/2018 5:22:43 PM	8/15/2018 5:22 PM
Details	Entity Name	Update	Recertification	COVENANT HOSPITAL PLAINVIEW	COVENANT HOSPITAL-PLAINVIEW	11/8/2017 2:36 PM
Contacts	Primary Contact	Insert	Recertification		Farmer, Christine Regional Executive Director of 340B Operations Covenant Health 8067256654	11/8/2017 1:57 PM
Details	Last Recertification Date	Update	Recertification		11/8/2017 1:57:52 PM	11/8/2017 1:57 PM
Contacts	Authorizing Official	Update		Mogg, Cassie CFO 8062964265	Mogg, Cassie CFO Covenant Hospital Plainview 8062964265	10/25/2017 1:40 PM
Contacts	Signed By	Update		Mogg, Cassie CFO 8062964265	Mogg, Cassie CFO Covenant Hospital Plainview 8062964265	10/25/2017 1:40 PM
Contacts	Authorizing Official	Insert			Mogg, Cassie CFO 8062964265	7/31/2017 4:12 PM
Contacts	Signed By	Insert			Mogg, Cassie CFO 8062964265	7/31/2017 4:12 PM
Addresses	Main Address	Insert			2606 YONKERS PLAINVIEW, TX 79072-1851	2/27/2017 2:30 PM
Dates	Participating Approval Date	Update			2/27/2017 12:00:00 AM	2/27/2017 2:30 PM
Details	State	Update		Pending	Active	2/27/2017 2:30 PM
Dates	Start Date	Update			4/1/2017 12:00:00 AM	2/27/2017 2:30 PM
Details	Entity Subname	Update		Covenant Rural Health Clinic	Covenant Plainview Rural Health Clinic	2/20/2017 11:55 AM
Details	Entity Subname	Update		METHODIST HOSPITAL PLAINVIEW TEXAS	Covenant Rural Health Clinic	2/17/2017 9:57 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_75080	SCH450539-03	1/27/2017 1:57 PM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_75080	1/16/2017 2:35 PM
Details	Last Recertification Date	Insert				1/16/2017 2:35 PM
Details	Grant Number	Insert				1/16/2017 2:35 PM
Details	340B ID	Insert				1/16/2017 2:35 PM
Details	Is Authorizing Official EHB Data	Insert				1/16/2017 2:35 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/16/2017 2:35 PM
Details	Medicare Provider Number	Insert			450539	1/16/2017 2:35 PM
Details	Entity Name	Insert			COVENANT HOSPITAL PLAINVIEW	1/16/2017 2:35 PM
Details	Program Code	Insert			SCH	1/16/2017 2:35 PM
Details	Entity Subname	Insert			METHODIST HOSPITAL PLAINVIEW TEXAS	1/16/2017 2:35 PM
Dates	Participating Approval Date	Insert				1/16/2017 2:35 PM
Details	State	Insert			Pending	1/16/2017 2:35 PM
Dates	Registration Date	Insert			1/16/2017 12:00:00 AM	1/16/2017 2:35 PM
Dates	Signed By Date	Insert			1/16/2017 12:00:00 AM	1/16/2017 2:35 PM
Dates	Start Date	Insert				1/16/2017 2:35 PM
Terminations	Termination Comments	Insert				1/16/2017 2:35 PM
Terminations	Termination Date	Insert				1/16/2017 2:35 PM
Terminations	Termination Effective Date	Insert				1/16/2017 2:35 PM
Terminations	Termination Reason	Insert				1/16/2017 2:35 PM