Covered Entity Details

CH06248E CATAHOULA PARISH HOSPITAL DISTRICT # 2 (Terminated) - information as of 5/30/2025 8:15:38 PM

Main Details

Name

CATAHOULA PARISH HOSPITAL DISTRICT # 2

Subdivision Name

Harrisonburg Family Health

Type

HRSA-Funded Health Center

Site ID

BPS-H80-020862

340B ID

CH06248E

Grant Number

H80CS00206

Additional Details

Current Program Status

Terminated

Registration Date

7/27/2017

Participating Start Date

10/1/2017

Participating Approval Date

7/31/2017

Last Recertification Date

2/17/2022

Termination Date
Termination Reason

4/1/2023
Site closure

Contacts

Authorizing Official

Catahoula Parish Hospital District #2
Debra K. Miesch, CEO
(318) 389-5727 Ext: 1407

Primary Contact

Catahoula Parish Hospital District #2
Renee Ford, CFO
(318) 389-5727

Addresses

Street Address

302 Bushley Street
Harrisonburg, LA 71340

Billing Address
Same as Street Address

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

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.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH062480	Active	BPS-H80-000449	CATAHOULA PARISH HOSPITAL DISTRICT # 2	ISLAND MEDICAL & DENTAL	307 Chisum St	Sicily Island	LA
CH06248A	Active	BPS-H80-000531	CATAHOULA PARISH HOSPITAL DISTRICT # 2	Catahoula Parish Hospital District No 2 Administrative Service Site	710 CHISUM STREET	SICILY ISLAND	LA
CH06248B	Active	BPS-H80-005575	CATAHOULA PARISH HOSPITAL DISTRICT # 2	WISNER MEDICAL CLINIC	126 WATSON RD	WISNER	LA
CH06248C	Active	BPS-H80-032885	CATAHOULA PARISH HOSPITAL DISTRICT # 2	Jonesville Medical Clinic	904 First Street	JONESVILLE	LA
CH06248D	Active	BPS-H80-015208	CATAHOULA PARISH HOSPITAL DISTRICT # 2	Ferriday Family Health Center	100 Serio Blvd.	Ferriday	LA
CH06248E	Terminated	BPS-H80-020862	CATAHOULA PARISH HOSPITAL DISTRICT # 2	Harrisonburg Family Health	302 Bushley Street	Harrisonburg	LA
CH06248F	Active	BPS-H80-033731	CATAHOULA PARISH HOSPITAL DISTRICT #2	Outpatient Behavioral Services	1820 Ee Wallace Blvd N	Ferriday	LA
CH06248G	Active	BPS-H80-038578	CATAHOULA PARISH HOSPITAL DISTRICT #2	Ferriday Health West	112 Serio Blvd	Ferriday	LA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH062480	BOOK'S PHARMACY LTD	1158 LOGAN SEWELL DR.		VIDALIA	LA	71373	01/01/2025
CH06248C	BOOK'S PHARMACY LTD	1158 LOGAN SEWELL DR.		VIDALIA	LA	71373	01/01/2025
CH06248A	BOOK'S PHARMACY LTD	1158 LOGAN SEWELL DR.		VIDALIA	LA	71373	01/01/2025
CH06248B	BOOK'S PHARMACY LTD	1158 LOGAN SEWELL DR.		VIDALIA	LA	71373	01/01/2025
CH06248D	BOOK'S PHARMACY LTD	1158 LOGAN SEWELL DR.		VIDALIA	LA	71373	01/01/2025
CH06248F	BOOK'S PHARMACY LTD	1158 LOGAN SEWELL DR.		VIDALIA	LA	71373	01/01/2025
CH06248G	BOOK'S PHARMACY LTD	1158 LOGAN SEWELL DR.		VIDALIA	LA	71373	01/01/2025
CH062480	BROOKS DRUGS	BROOKS DRUGS	104 MOUND ST	JONESVILLE	LA	71343	01/01/2017
CH06248A	BROOKS DRUGS	BROOKS DRUGS	104 MOUND ST	JONESVILLE	LA	71343	01/01/2025
CH062480	DEEP SOUTH MEDICAL SUPPLY LLC	D/B/A ISLAND PHARMACY	311 CHISUM ST	SICILY ISLAND	LA	71368	01/15/2020	03/01/2023
CH062480	FRED'S PHARMACY # 1936	2094 EE WALLACE BLVD N		FERRIDAY	LA	71334	01/01/2017	12/31/2022
CH062480	FRED'S XPRESS #3861	705 PLANK ROAD	PO BOX 5	ST JOSEPH	LA	71366	01/01/2017	12/31/2020
CH062480	ISLAND PHARMACY	PO BOX 38	311 CHISUM ST.	SICILY ISLAND	LA	71368	03/30/2007	04/11/2019
CH062480	ISLAND PHARMACY	PO BOX 38	311 CHISUM ST.	SICILY ISLAND	LA	71368	01/01/2020
CH062480	MEDI THRIFT DRUGS	302 BUSHLEY ST	P.O. BOX 205	HARRISONBURG	LA	71340	01/01/2017
CH06248D	MEDI THRIFT DRUGS	302 BUSHLEY ST	P.O. BOX 205	HARRISONBURG	LA	71340	01/01/2025
CH06248C	MEDI THRIFT DRUGS	302 BUSHLEY ST	P.O. BOX 205	HARRISONBURG	LA	71340	01/01/2025
CH06248B	MEDI THRIFT DRUGS	302 BUSHLEY ST	P.O. BOX 205	HARRISONBURG	LA	71340	01/01/2025
CH06248A	MEDI THRIFT DRUGS	302 BUSHLEY ST	P.O. BOX 205	HARRISONBURG	LA	71340	01/01/2025
CH06248F	MEDI THRIFT DRUGS	302 BUSHLEY ST	P.O. BOX 205	HARRISONBURG	LA	71340	01/01/2025
CH06248G	MEDI THRIFT DRUGS	302 BUSHLEY ST	P.O. BOX 205	HARRISONBURG	LA	71340	01/01/2025
CH062480	MORGAN'S PHARMACY	1806 FOURTH ST		JONESVILLE	LA	71343	01/01/2017
CH06248A	MORGAN'S PHARMACY	1806 FOURTH ST		JONESVILLE	LA	71343	01/01/2025
CH062480	SCOTT'S PHARMACY	114 SERIO BLVD		FERRIDAY	LA	71334	01/01/2017
CH06248A	SCOTT'S PHARMACY	114 SERIO BLVD		FERRIDAY	LA	71334	01/01/2025
CH06248B	SCOTT'S PHARMACY	114 SERIO BLVD		FERRIDAY	LA	71334	01/01/2025
CH06248C	SCOTT'S PHARMACY	114 SERIO BLVD		FERRIDAY	LA	71334	01/01/2025
CH06248D	SCOTT'S PHARMACY	114 SERIO BLVD		FERRIDAY	LA	71334	01/01/2025
CH06248F	SCOTT'S PHARMACY	114 SERIO BLVD		FERRIDAY	LA	71334	01/01/2025
CH06248G	SCOTT'S PHARMACY	114 SERIO BLVD		FERRIDAY	LA	71334	01/01/2025
CH062480	VAUGHANS CITY DRUG CO OF CONC	109 EE WALLACE BLVD N		FERRIDAY	LA	71334	01/01/2017
CH06248D	VAUGHANS CITY DRUG CO OF CONC	109 EE WALLACE BLVD N		FERRIDAY	LA	71334	01/01/2025
CH06248B	VAUGHANS CITY DRUG CO OF CONC	109 EE WALLACE BLVD N		FERRIDAY	LA	71334	01/01/2025
CH06248A	VAUGHANS CITY DRUG CO OF CONC	109 EE WALLACE BLVD N		FERRIDAY	LA	71334	01/01/2025
CH06248C	VAUGHANS CITY DRUG CO OF CONC	109 EE WALLACE BLVD N		FERRIDAY	LA	71334	01/01/2025
CH06248F	VAUGHANS CITY DRUG CO OF CONC	109 EE WALLACE BLVD N		FERRIDAY	LA	71334	01/01/2025
CH06248G	VAUGHANS CITY DRUG CO OF CONC	109 EE WALLACE BLVD N		FERRIDAY	LA	71334	01/01/2025
CH06248D	VILLAGE OF GILBERT PHARMACY, LLC	VILLAGE OF GILBERT PHARMACY, LLC	7659 GILBERT ST STE A	GILBERT	LA	71336	01/01/2025
CH06248A	VILLAGE OF GILBERT PHARMACY, LLC	VILLAGE OF GILBERT PHARMACY, LLC	7659 GILBERT ST STE A	GILBERT	LA	71336	01/01/2025
CH06248B	VILLAGE OF GILBERT PHARMACY, LLC	VILLAGE OF GILBERT PHARMACY, LLC	7659 GILBERT ST STE A	GILBERT	LA	71336	01/01/2025
CH06248C	VILLAGE OF GILBERT PHARMACY, LLC	VILLAGE OF GILBERT PHARMACY, LLC	7659 GILBERT ST STE A	GILBERT	LA	71336	01/01/2025
CH062480	VILLAGE OF GILBERT PHARMACY, LLC	VILLAGE OF GILBERT PHARMACY, LLC	7659 GILBERT ST STE A	GILBERT	LA	71336	01/01/2025
CH06248F	VILLAGE OF GILBERT PHARMACY, LLC	VILLAGE OF GILBERT PHARMACY, LLC	7659 GILBERT ST STE A	GILBERT	LA	71336	01/01/2025
CH06248G	VILLAGE OF GILBERT PHARMACY, LLC	VILLAGE OF GILBERT PHARMACY, LLC	7659 GILBERT ST STE A	GILBERT	LA	71336	01/01/2025
CH062480	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2020
CH06248F	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2025
CH06248G	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2025
CH06248B	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2025
CH06248C	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2025
CH06248D	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2025
CH06248A	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2025
CH062480	WAL-MART PHARMACY 10-0828	2373 E MAIN STREET		PLAINFIELD	IN	46168	01/01/2025	11/26/2024
CH06248A	WAL-MART PHARMACY 10-0828	2373 E MAIN STREET		PLAINFIELD	IN	46168	01/01/2025	11/29/2024
CH06248B	WAL-MART PHARMACY 10-0828	2373 E MAIN STREET		PLAINFIELD	IN	46168	01/01/2025	11/29/2024
CH06248C	WAL-MART PHARMACY 10-0828	2373 E MAIN STREET		PLAINFIELD	IN	46168	01/01/2025	11/29/2024
CH06248D	WAL-MART PHARMACY 10-0828	2373 E MAIN STREET		PLAINFIELD	IN	46168	01/01/2025	11/29/2024
CH06248F	WAL-MART PHARMACY 10-0828	2373 E MAIN STREET		PLAINFIELD	IN	46168	01/01/2025
CH06248G	WAL-MART PHARMACY 10-0828	2373 E MAIN STREET		PLAINFIELD	IN	46168	01/01/2025
CH062480	WAL-MART PHARMACY 10-0976	3360 FRONT STREET		WINNSBORO	LA	71295	01/01/2017
CH06248F	WAL-MART PHARMACY 10-0976	3360 FRONT STREET		WINNSBORO	LA	71295	01/01/2025
CH06248G	WAL-MART PHARMACY 10-0976	3360 FRONT STREET		WINNSBORO	LA	71295	01/01/2025
CH06248B	WAL-MART PHARMACY 10-0976	3360 FRONT STREET		WINNSBORO	LA	71295	01/01/2025
CH06248C	WAL-MART PHARMACY 10-0976	3360 FRONT STREET		WINNSBORO	LA	71295	01/01/2025
CH06248D	WAL-MART PHARMACY 10-0976	3360 FRONT STREET		WINNSBORO	LA	71295	01/01/2025
CH062480	WAL-MART PHARMACY 10-1106	4283 CARTER STREET		VIDALIA	LA	71373	01/01/2017
CH06248A	WAL-MART PHARMACY 10-1106	4283 CARTER STREET		VIDALIA	LA	71373	01/01/2025
CH06248B	WAL-MART PHARMACY 10-1106	4283 CARTER STREET		VIDALIA	LA	71373	01/01/2025
CH06248C	WAL-MART PHARMACY 10-1106	4283 CARTER STREET		VIDALIA	LA	71373	01/01/2025
CH06248D	WAL-MART PHARMACY 10-1106	4283 CARTER STREET		VIDALIA	LA	71373	01/01/2025
CH06248F	WAL-MART PHARMACY 10-1106	4283 CARTER STREET		VIDALIA	LA	71373	01/01/2025
CH06248G	WAL-MART PHARMACY 10-1106	4283 CARTER STREET		VIDALIA	LA	71373	01/01/2025
CH062480	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2020
CH06248F	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2025
CH06248G	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2025
CH06248B	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2025
CH06248C	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2025
CH06248D	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2025
CH06248A	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2025
CH06248A	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2025
CH06248C	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2025
CH06248B	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2025
CH062480	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2025
CH06248D	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2025
CH06248F	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2025
CH06248G	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2025
CH06248B	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2025
CH06248C	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2025
CH062480	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2025
CH06248D	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2025
CH06248F	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2025
CH06248G	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2023 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		10/31/2022 12:00:00 AM	2/23/2023 1:49 PM
Details	State	Update	Recertification	Active	To Be Terminated	2/23/2023 1:49 PM
Terminations	Termination Comments	Update	Recertification		Site closed, practice moved to Catahoula Parish Hospital Services District at 307 Chisum Street, Sicily Island, LA 71368	2/23/2023 1:49 PM
Terminations	Termination Date	Update	Recertification		4/1/2023 12:00:00 AM	2/23/2023 1:49 PM
Terminations	Termination Effective Date	Update	Recertification		10/31/2022 12:00:00 AM	2/23/2023 1:49 PM
Terminations	Termination Reason	Update	Recertification		Site closure	2/23/2023 1:49 PM
Contacts	Authorizing Official	Update	Profile Change Request	Miesch, Debra K. CEO Catahoula Parish Hospital District #2 3183895727-1012	Miesch, Debra K. CEO Catahoula Parish Hospital District #2 3183895727-1407	2/23/2023 12:16 PM
Contacts	Signed By	Update	Profile Change Request	Miesch, Debra K. CEO Catahoula Parish Hospital District #2 3183895727-1012	Miesch, Debra K. CEO Catahoula Parish Hospital District #2 3183895727-1407	2/23/2023 12:16 PM
Details	Last Recertification Date	Update	Recertification	2/7/2021 2:11:53 PM	2/17/2022 10:18:58 AM	2/17/2022 10:18 AM
Details	Last Recertification Date	Update	Recertification	2/4/2020 6:21:20 PM	2/7/2021 2:11:53 PM	2/7/2021 2:11 PM
Details	Last Recertification Date	Update	Recertification	1/29/2019 10:28:12 AM	2/4/2020 6:21:20 PM	2/4/2020 6:21 PM
Details	Last Recertification Date	Update	Recertification	2/7/2018 11:16:20 AM	1/29/2019 10:28:12 AM	1/29/2019 10:28 AM
Contacts	Primary Contact	Update	Recertification	Miesch, Debra K. CEO Catahoula Parish Hospital District #2 3183895727-1012	Ford, Renee CFO Catahoula Parish Hospital District #2 3183895727	2/7/2018 11:16 AM
Details	Last Recertification Date	Update	Recertification		2/7/2018 11:16:20 AM	2/7/2018 11:16 AM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/7/2018 11:16 AM
Contacts	Authorizing Official	Update		Miesch, Debra K. CEO 3183895727-1012	Miesch, Debra K. CEO Catahoula Parish Hospital District #2 3183895727-1012	1/9/2018 4:15 PM
Contacts	Primary Contact	Update		Miesch, Debra K. CEO 3183895727-1012	Miesch, Debra K. CEO Catahoula Parish Hospital District #2 3183895727-1012	1/9/2018 4:15 PM
Contacts	Signed By	Update		Miesch, Debra K. CEO 3183895727-1012	Miesch, Debra K. CEO Catahoula Parish Hospital District #2 3183895727-1012	1/9/2018 4:15 PM
Addresses	Main Address	Insert			302 Bushley Street Harrisonburg, LA 71340	7/31/2017 3:53 PM
Contacts	Authorizing Official	Insert			Miesch, Debra K. CEO 3183895727-1012	7/31/2017 3:53 PM
Contacts	Primary Contact	Insert			Miesch, Debra K. CEO 3183895727-1012	7/31/2017 3:53 PM
Contacts	Signed By	Insert			Miesch, Debra K. CEO 3183895727-1012	7/31/2017 3:53 PM
Details	State	Update		Approved	Active	7/31/2017 3:53 PM
Dates	Participating Approval Date	Update			7/31/2017 12:00:00 AM	7/31/2017 3:52 PM
Details	State	Update		Pending	Approved	7/31/2017 3:52 PM
Dates	Start Date	Update			10/1/2017 12:00:00 AM	7/31/2017 3:52 PM
Details	340B ID	Update		ONLINE_REG_79324	CH06248E	7/31/2017 9:06 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_79324	7/27/2017 3:32 PM
Details	Last Recertification Date	Insert				7/27/2017 3:31 PM
Details	Grant Number	Insert			H80CS00206	7/27/2017 3:31 PM
Details	340B ID	Insert			ONLINE_REG	7/27/2017 3:31 PM
Details	Is Authorizing Official EHB Data	Insert			False	7/27/2017 3:31 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/27/2017 3:31 PM
Details	Medicare Provider Number	Insert				7/27/2017 3:31 PM
Details	Entity Name	Insert			CATAHOULA PARISH HOSPITAL DISTRICT # 2	7/27/2017 3:31 PM
Details	Program Code	Insert			CH	7/27/2017 3:31 PM
Details	Entity Subname	Insert			Harrisonburg Family Health	7/27/2017 3:31 PM
Dates	Participating Approval Date	Insert				7/27/2017 3:31 PM
Details	State	Insert			Pending	7/27/2017 3:31 PM
Dates	Registration Date	Insert			7/27/2017 12:00:00 AM	7/27/2017 3:31 PM
Dates	Signed By Date	Insert			7/27/2017 12:00:00 AM	7/27/2017 3:31 PM
Dates	Start Date	Insert				7/27/2017 3:31 PM
Terminations	Termination Comments	Insert				7/27/2017 3:31 PM
Terminations	Termination Date	Insert				7/27/2017 3:31 PM
Terminations	Termination Effective Date	Insert				7/27/2017 3:31 PM
Terminations	Termination Reason	Insert				7/27/2017 3:31 PM

340B Drug Pricing Program Database