Covered Entity Details

CH06173J GULF COAST HEALTH CENTER, INC. (Terminated) - information as of 6/6/2025 12:33:22 PM

Main Details

Name

GULF COAST HEALTH CENTER, INC.

Subdivision Name

Gulf Coast Health Center Inc Hwy 73 Campus

Type

HRSA-Funded Health Center

Site ID

BPS-H80-018811

340B ID

CH06173J

Grant Number

H80CS00408

Additional Details

Current Program Status

Terminated

Registration Date

4/11/2017

Participating Start Date

7/1/2017

Participating Approval Date

4/24/2017

Last Recertification Date

2/6/2020

Termination Date
Termination Reason

4/1/2021
Site closure

Contacts

Authorizing Official

Gulf Coast Health Center, Inc.
Marsha E. Thigpen, Executive Director
(409) 983-1161 Ext: 880

Primary Contact

Gulf Coast Health Center, Inc.
Keren Arledge, Executive Administrative Assistant
(409) 983-1161 Ext: 880

Addresses

Street Address

3701 TX-73
Port Arthur, TX 77642-4361

Billing Address

Gulf Coast Health Center, Inc.
2548 Memorial Blvd
Port Arthur, TX 77640

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

Shipping Address 1

Gulf Coast Health Center, Inc.
2548 Memorial Blvd
Port Arthur, TX 77640

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.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH061730	Active	BPS-H80-000555	GULF COAST HEALTH CENTER, INC.	GULF COAST HEALTH CENTER, INC. - PORT ARTHUR	2548 Memorial Blvd	Port Arthur	TX
CH06173A	Active	BPS-H80-24601	GULF COAST HEALTH CENTER, INC. - Port Arthur	Gulf Coast Health Center, Inc. - Silsbee	755 N 4th Street	Silsbee	TX
CH06173B	Active	BPS-H80-028107	GULF COAST HEALTH CENTER, INC.	GULF COAST HEALTH CENTER, INC. - JASPER	561 State Street	Jasper	TX
CH06173C	Terminated	BPS-H80-011888	GULF COAST HEALTH CENTER, INC.	GULF COAST HEALTH CENTER, INC. - ORANGE	1301 W PARK AVE STE C	ORANGE	TX
CH06173F	Active	BPS-H80-012654	GULF COAST HEALTH CENTER, INC.	GULF COAST HEALTH CENTER, INC. - WEST SIDE	601 Rev Ransom Howard BLDG B	Port Arthur	TX
CH06173G	Active	BPS-H80-012207	GULF COAST HEALTH CENTER, INC.	Gulf Coast Health Center - Mobile 1	2548 Memorial Blvd	Port Arthur	TX
CH06173H	Terminated	BPS-H80-017298	GULF COAST HEALTH CENTER, INC.	Gulf Coast Health Center, Inc. - Jasper Dental	103 W Gibson Suite 112	Jasper	TX
CH06173J	Terminated	BPS-H80-018811	GULF COAST HEALTH CENTER, INC.	Gulf Coast Health Center Inc Hwy 73 Campus	3701 TX-73	Port Arthur	TX
CH06173K	Active	BPS-H80-021776	Gulf Coast Health Center, Inc.	Gulf Coast Health Center Inc. Orange	610 Strickland Drive Suite 380	Orange	TX
CH06173L	Active	BPS-H80-031620	Gulf Coast Health Center, Inc.	Gulf Coast Health Center Inc. Mobile Unit	561 State Street	Jasper	TX
CH06173M	Active	BPS-H80-035014	Gulf Coast Health Center, Inc.	Gulf Coast Health Center - Phillis Wheatley School of Early Childhood Programs SBHC	1100 Jefferson Dr	Port Arthur	TX
CH06173N	Active	BPS-H80-036020	Gulf Coast Health Center, Inc.	GCHC Port Arthur Park Plaza Site	2927 Park Plaza Lane	Port Arthur	TX
CH06173P	Active	BPS-H80-024601	Gulf Coast Health Center, Inc.	GULF COAST HEALTH CENTER, INC. - SILSBEE	755 N 4th St	Silsbee	TX
CH06173Q	Active	BPS-H80-035017	Gulf Coast Health Center, Inc.	Gulf Coast Health Center - Memorial High School SBHC	3501 Sgt Lucien Adams Blvd	Port Arthur	TX

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH061730	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	07/01/2018
CH061730	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	07/01/2018
CH061730	AVITA PHARMACY 1028	340B PARTNERS PHARMACY-DALLAS LLC DBA AV	750 FORT WORTH AVE STE H100	DALLAS	TX	75208-1811	07/01/2017
CH061730	AVITA PHARMACY 1029	340B PARTNERS PHARMACY LLC D/B/A AVITA P	303 N FRIO ST SUITE 102	SAN ANTONIO	TX	78207-3034	07/01/2017
CH061730	AVITA PHARMACY 1037	AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC	2519 CANAL ST	NEW ORLEANS	LA	70119	07/01/2017
CH061730	AVITA PHARMACY 1038	AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM	3308 TULANE AVE STE 102	NEW ORLEANS	LA	70119-7170	07/01/2017
CH061730	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	07/01/2017
CH061730	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2024
CH061730	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2024
CH061730	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 00851	485 TEXAS AVE	BRIDGE CITY	TX	77611	04/01/2024
CH061730	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 02995	4101 TWIN CITY HWY	PORT ARTHUR	TX	77642	04/01/2024
CH061730	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06374	290 STRICKLAND DR.	ORANGE	TX	77630	04/01/2024
CH061730	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06381	2425 N. 16TH ST.	ORANGE	TX	77630	04/01/2024
CH061730	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06491	1295 N MAIN ST	VIDOR	TX	77662	04/01/2024
CH061730	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07477	2712 HIGHWAY 365	NEDERLAND	TX	77627	04/01/2024
CH061730	CVS PHARMACY, INC.	CVS/PHARMACY #11379	8484 CENTRAL MALL DR.	PORT ARTHUR	TX	77642	04/01/2024
CH061730	CVS PHARMACY, INC.	CVS PHARMACY # 16997	3100 HIGHWAY 365 STE 90	PORT ARTHUR	TX	77642	04/01/2024
CH061730	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	07/01/2018
CH061730	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	07/01/2018
CH06173C	SHOLARS MEDICINE CHEST		1301 WEST PARK AVENUE	ORANGE	TX	77630	06/30/2010	04/01/2018
CH061730	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2018
CH061730	WAL-MART PHARMACY 10-0214	800 W. GIBSON		JASPER	TX	75951	07/01/2017	08/01/2017
CH061730	WAL-MART PHARMACY 10-0214	800 W. GIBSON		JASPER	TX	75951	10/01/2018
CH061730	WAL-MART PHARMACY 10-0283	795 TEXAS AVE		BRIDGE CITY	TX	77611	10/01/2018
CH061730	WAL-MART PHARMACY 10-0288	115 COBB MILL RD		WOODVILLE	TX	75979	07/01/2017	08/01/2017
CH061730	WAL-MART PHARMACY 10-0288	115 COBB MILL RD		WOODVILLE	TX	75979	10/01/2018
CH061730	WAL-MART PHARMACY 10-0383	1100 NORTH HWY 96		SILSBEE	TX	77656	07/01/2017	08/01/2017
CH061730	WAL-MART PHARMACY 10-0383	1100 NORTH HWY 96		SILSBEE	TX	77656	10/01/2018
CH061730	WAL-MART PHARMACY 10-0408	8585 MEMORIAL BLVD.		PORT ARTHUR	TX	77642	07/01/2017	08/01/2017
CH061730	WAL-MART PHARMACY 10-0408	8585 MEMORIAL BLVD.		PORT ARTHUR	TX	77642	10/01/2018
CH061730	WAL-MART PHARMACY 10-0449	4999 TWIN CITY HWY		PORT ARTHUR (GROVES)	TX	77642	07/01/2017	08/01/2017
CH061730	WAL-MART PHARMACY 10-0449	4999 TWIN CITY HWY		PORT ARTHUR (GROVES)	TX	77642	10/01/2018
CH061730	WAL-MART PHARMACY 10-0457	1360 NORTH MAIN		VIDOR	TX	77662	07/01/2017	08/01/2017
CH061730	WAL-MART PHARMACY 10-0457	1360 NORTH MAIN		VIDOR	TX	77662	10/01/2018	07/13/2018
CH061730	WAL-MART PHARMACY 10-0651	4145 N. DOWLEN RD		BEAUMONT	TX	77706	07/01/2017	08/01/2017
CH061730	WAL-MART PHARMACY 10-0651	4145 N. DOWLEN RD		BEAUMONT	TX	77706	10/01/2018	07/13/2018
CH061730	WAL-MART PHARMACY 10-0777	3115 EDGAR BROWN DR		WEST ORANGE	TX	77630	07/01/2017	08/01/2017
CH061730	WAL-MART PHARMACY 10-0777	3115 EDGAR BROWN DR		WEST ORANGE	TX	77630	10/01/2018
CH061730	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2018
CH061730	WALGREEN CO.	DBA: WALGREENS # 03271	3990 E. LUCAS DRIVE	BEAUMONT	TX	77708	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 10139	1305 N MAIN ST	VIDOR	TX	77662	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 03821	3605 COLLEGE ST	BEAUMONT	TX	77701	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS #11275	4746 TWIN CITY HWY.	GROVES	TX	77619	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 05375	3700 HWY 365	PORT ARTHUR	TX	77642	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 03081	1408 N 16TH ST	ORANGE	TX	77630	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 03958	4930 GULFWAY DR	PORT ARTHUR	TX	77642	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 06583	3885 N DOWLEN ROAD	BEAUMONT	TX	77706	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS #12355	1790 TEXAS AVE.	BRIDGE CITY	TX	77611	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 07638	1250 S WHEELER STREET	JASPER	TX	75951	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 07614	902 N MAIN	LUMBERTON	TX	77657	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 03507	2126 NALL ST	PORT NECHES	TX	77651	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS #11522	496 HIGHWAY 96 SOUTH	SILSBEE	TX	77656	01/01/2011
CH061730	WALGREEN CO.	DBA: WALGREENS # 03796	6795 CALDER AVE	BEAUMONT	TX	77706	01/01/2011

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2021 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		12/1/2020 12:00:00 AM	2/3/2021 1:52 PM
Details	State	Update	Recertification	Active	To Be Terminated	2/3/2021 1:52 PM
Terminations	Termination Date	Update	Recertification		4/1/2021 12:00:00 AM	2/3/2021 1:52 PM
Terminations	Termination Effective Date	Update	Recertification		12/1/2020 12:00:00 AM	2/3/2021 1:52 PM
Terminations	Termination Reason	Update	Recertification		Site closure	2/3/2021 1:52 PM
Details	Last Recertification Date	Update	Recertification	2/5/2019 10:01:38 PM	2/6/2020 5:17:21 PM	2/6/2020 5:17 PM
Details	Last Recertification Date	Update	Recertification	2/26/2018 5:03:22 PM	2/5/2019 10:01:38 PM	2/5/2019 10:01 PM
Contacts	Primary Contact	Update	Recertification	Thigpen, Marsha E. Executive Director Gulf Coast Health Center, Inc. 4099831161-880	Arledge, Keren Executive Administrative Assistant Gulf Coast Health Center, Inc. 4099831161-880	2/26/2018 5:03 PM
Details	Last Recertification Date	Update	Recertification		2/26/2018 5:03:22 PM	2/26/2018 5:03 PM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/26/2018 5:03 PM
Contacts	Authorizing Official	Update		Thigpen, Marsha E. Executive Director 4099831161-880	Thigpen, Marsha E. Executive Director Gulf Coast Health Center, Inc. 4099831161-880	2/26/2018 4:33 PM
Contacts	Primary Contact	Update		Thigpen, Marsha E. Executive Director 4099831161-880	Thigpen, Marsha E. Executive Director Gulf Coast Health Center, Inc. 4099831161-880	2/26/2018 4:33 PM
Contacts	Signed By	Update		Thigpen, Marsha E. Executive Director 4099831161-880	Thigpen, Marsha E. Executive Director Gulf Coast Health Center, Inc. 4099831161-880	2/26/2018 4:33 PM
Addresses	Main Address	Insert			3701 TX-73 Port Arthur, TX 77642-4361	5/1/2017 5:50 PM
Contacts	Authorizing Official	Insert			Thigpen, Marsha E. Executive Director 4099831161-880	5/1/2017 5:50 PM
Contacts	Primary Contact	Insert			Thigpen, Marsha E. Executive Director 4099831161-880	5/1/2017 5:50 PM
Contacts	Signed By	Insert			Thigpen, Marsha E. Executive Director 4099831161-880	5/1/2017 5:50 PM
Addresses	Billing Address	Insert			Gulf Coast Health Center, Inc. 2548 Memorial Blvd Port Arthur, TX 77640	4/24/2017 1:31 PM
Addresses	Shipping Address	Insert			Gulf Coast Health Center, Inc. 2548 Memorial Blvd Port Arthur, TX 77640	4/24/2017 1:31 PM
Dates	Participating Approval Date	Update			4/24/2017 12:00:00 AM	4/24/2017 1:31 PM
Details	State	Update		Pending	Active	4/24/2017 1:31 PM
Dates	Start Date	Update			7/1/2017 12:00:00 AM	4/24/2017 1:31 PM
Details	340B ID	Update		ONLINE_REG_76551	CH06173J	4/12/2017 7:22 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_76551	4/11/2017 2:39 PM
Details	Last Recertification Date	Insert				4/11/2017 2:39 PM
Details	Grant Number	Insert			H80CS00408	4/11/2017 2:39 PM
Details	340B ID	Insert			ONLINE_REG	4/11/2017 2:39 PM
Details	Is Authorizing Official EHB Data	Insert			False	4/11/2017 2:39 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/11/2017 2:39 PM
Details	Medicare Provider Number	Insert				4/11/2017 2:39 PM
Details	Entity Name	Insert			GULF COAST HEALTH CENTER, INC.	4/11/2017 2:39 PM
Details	Program Code	Insert			CH	4/11/2017 2:39 PM
Details	Entity Subname	Insert			Gulf Coast Health Center Inc Hwy 73 Campus	4/11/2017 2:39 PM
Dates	Participating Approval Date	Insert				4/11/2017 2:39 PM
Details	State	Insert			Pending	4/11/2017 2:39 PM
Dates	Registration Date	Insert			4/11/2017 12:00:00 AM	4/11/2017 2:39 PM
Dates	Signed By Date	Insert			4/11/2017 12:00:00 AM	4/11/2017 2:39 PM
Dates	Start Date	Insert				4/11/2017 2:39 PM
Terminations	Termination Comments	Insert				4/11/2017 2:39 PM
Terminations	Termination Date	Insert				4/11/2017 2:39 PM
Terminations	Termination Effective Date	Insert				4/11/2017 2:39 PM
Terminations	Termination Reason	Insert				4/11/2017 2:39 PM

340B Drug Pricing Program Database