Covered Entity Details

CH05330L HAMILTON COMMUNITY HEALTH NETWORK, INC. (Active) - information as of 5/17/2025 10:51:49 PM

Main Details

Name

HAMILTON COMMUNITY HEALTH NETWORK, INC.

Subdivision Name

Hamilton Homeless Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-021711

340B ID

CH05330L

Grant Number

H80CS00435

Additional Details

Current Program Status

Active

Registration Date

2/26/2018

Participating Start Date

4/1/2018

Participating Approval Date

2/27/2018

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

Hamilton Community Health Network
CLARENCE PIERCE, CEO
(810) 406-4951

Primary Contact

Hamilton Community Health Network
Kirk Smith, Chief Administrative Officer
(810) 406-4912 Ext: 4967

Addresses

Street Address

812 Root Street 2nd Floor
Flint, MI 48503-1541

Billing Address

Hamilton Community Health Network
225 East Fifth Street
Suite 300
Flint, MI 48502

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
MI		1033619861

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
CH053300	Active	BPS-H80-011166	HAMILTON COMMUNITY HEALTH NETWORK, INC.	Hamilton Community Health Network, Inc. - New Main	2900 N. Saginaw	Flint	MI
CH05330A	Active	BPS-H80-001885	HAMILTON COMMUNITY HEALTH NETWORK, INC.	HCHN - DENTAL NORTH	G5399 N Saginaw St	Flint	MI
CH05330C	Active	BPS-H80-002805	HAMILTON COMMUNITY HEALTH NETWORK, INC.	HCHN - NORTH POINTE CLINIC	5710 Clio Rd	Flint	MI
CH05330I	Active	BPS-H80-009293	HAMILTON COMMUNITY HEALTH NETWORK, INC.	HCHN - New Burton	G3375 S. Saginaw St.	Burton	MI
CH05330J	Active	BPS-H80-010928	HAMILTON COMMUNITY HEALTH NETWORK, INC.	Clio Heath Center	4154 W Vienna Rd	Clio	MI
CH05330K	Terminated	BPS-H80-000327	HAMILTON COMMUNITY HEALTH NETWORK, INC.	HCHN - COMM MENTAL HEALTH	420 W. 5TH AVE	FLINT	MI
CH05330L	Active	BPS-H80-021711	HAMILTON COMMUNITY HEALTH NETWORK, INC.	Hamilton Homeless Clinic	812 Root Street 2nd Floor	Flint	MI
CH05330M	Active	BPS-H80-015438	HAMILTON COMMUNITY HEALTH NETWORK, INC.	Lapeer Clinic	1570 SUNCREST DR	LAPEER	MI
CH05330N	Active	BPS-H80-032128	Hamilton Community Health Network, Inc.	Hamilton - McFarlan Clinic	800 E Court St Fl 1	Flint	MI
CH05330P	Active	BPS-H80-037705	Hamilton Community Health Network, Inc.	Hamilton Whitmore Lake Clinic	10 Jennings Rd	Whitmore Lake	MI

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH053300	APEX DRUG STORES, INC.	RITE AID #4588	3521 CORUNNA ROAD	FLINT	MI	48503	04/01/2024	08/08/2024
CH053300	CLIO ROAD PHARMACY	CLIO ROAD PHARMACY	4902 CLIO RD	FLINT	MI	48504-4850	01/01/2025
CH053300	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2024
CH053300	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2024
CH053300	GENOA HEALTHCARE LLC	1040 W BRISTOL RD STE G		FLINT	MI	48507	01/01/2022
CH053300	GENOA HEALTHCARE LLC	1570 SUNCREST DR	SUITE 300	LAPEER	MI	48446	01/01/2022
CH053300	KROGER CO OF MICHIGAN #115	3838 RICHFIELD ROAD		FLINT	MI	48506	01/01/2025
CH053300	KROGER DBA: KESSEL #407	7188 N SAGINAW ROAD		MOUNT MORRIS	MI	48458	05/26/2021
CH053300	MEIJER DISTRIBUTION INC #90	2721 WALKER AVE NW		GRAND RAPIDS	MI	49544	05/26/2021
CH053300	MEIJER INC #213	9515 BIRCH RUN ROAD		BIRCH RUN	MI	48415-9613	05/26/2021
CH053300	MEIJER INC #244	8089 LAPEER ROAD		DAVISON	MI	48423-2529	01/01/2025
CH053300	MEIJER INC #29	G-2333 SOUTH CENTER ROAD		BURTON	MI	48519	05/26/2021
CH053300	MEIJER INC #44	2474 WEST HILL ROAD		FLINT	MI	48507	01/01/2025
CH053300	MEIJER PHARMACY #259	4141 MORRISH RD.		SWARTZ CREEK	MI	48473	01/01/2025
CH053300	MEIJER PHARMACY #464	41255 COCA COLA DR.		BELLEVILLE	MI	48111-1827	05/26/2021
CH053300	MEIJER STORES LIMITED PARTNERSHIP	D/B/A MEIJER PHARMACY #463	1515 PROFIT DR.	FORT WAYNE	IN	46808	05/26/2021
CH053300	MEIJER, INC. #140	1555 DEMILLE RD		LAPEER	MI	48446	01/01/2025
CH053300	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	07/01/2025
CH053300	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	07/01/2025
CH053300	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2025
CH053300	PERRY DRUG STORES, INC.	RITE AID #4333	100 EAST VIENNA ROAD	CLIO	MI	48420	05/26/2021	08/15/2024
CH053300	PERRY DRUG STORES, INC.	RITE AID #4310	5018 CLIO ROAD	FLINT	MI	48504	01/01/2022	08/05/2024
CH053300	PERRY DRUG STORES, INC.	RITE AID #4438	3717 FENTON ROAD	FLINT	MI	48507	01/01/2022	09/06/2023
CH053300	PERRY DRUG STORES, INC.	RITE AID #4340	G4033 FENTON ROAD	BURTON	MI	48529	01/01/2022	06/26/2024
CH053300	PERRY DRUG STORES, INC.	RITE AID #4442	4515 CORUNNA ROAD	FLINT	MI	48532	04/01/2024	08/06/2024
CH053300	RITE AID OF MICHIGAN, INC.	RITE AID #3667	4001 DAVISON ROAD SUITE A	BURTON	MI	48509	01/01/2022	09/17/2023
CH053300	RITE AID OF MICHIGAN, INC.	RITE AID #7736	11801 NORTH SAGINAW STREET	MOUNT MORRIS	MI	48458	04/01/2024	08/08/2024
CH053300	RITE AID OF MICHIGAN, INC.	RITE AID #1587	4519 RICHFIELD ROAD	FLINT	MI	48506	04/01/2024	06/26/2024
CH053300	RITE AID OF MICHIGAN, INC.	RITE AID #4806	6026 LAPEER ROAD	BURTON	MI	48509	04/01/2024	06/27/2024
CH053300	THE KROGER CO OF MICHIGAN	KROGER PHARMACY #406	1200 E BRISTOL ROAD	BURTON	MI	48529	01/01/2025
CH053300	UNION PRESCRIPTION CENTER I INC	11830 N SAGINAW ST		MOUNT MORRIS	MI	48458-1504	07/01/2025
CH053300	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	05/26/2021
CH053300	WAL-MART PHARMACY 10-1928	4313 CORUNNA RD		FLINT	MI	48532	05/26/2021
CH053300	WAL-MART PHARMACY 10-1987	555 EAST GENESEE		LAPEER	MI	48446	04/01/2025
CH053300	WAL-MART PHARMACY 10-2273	5323 E COURT ST NORTH		BURTON	MI	48509	05/26/2021
CH053300	WAL-MART PHARMACY 10-3726	6170 SOUTH SAGINAW ROAD		GRAND BLANC	MI	48439	07/01/2025
CH053300	WAL-MART PHARMACY 10-4243	11493 NORTH LINDEN ROAD		CLIO	MI	48420	05/26/2021
CH053300	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	05/26/2021
CH053300	WALGREEN CO.	DBA: WALGREENS # 07501	G4010 FENTON ROAD	FLINT	MI	48507	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS # 07065	3270 W SILVER LAKE RD	FENTON	MI	48430-1374	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS # 06054	1570 E PIERSON	FLUSHING	MI	48433	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS # 07500	5020 CORUNNA ROAD	FLINT	MI	48532	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS # 06830	502 S BALLENGER HWY	FLINT	MI	48532-3640	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS #10953	901 S STATE RD	DAVISON	MI	48423-1721	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS # 04676	5703 S SAGINAW RD	GRAND BLANC	MI	48507	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS #12971	571 S MAIN ST	LAPEER	MI	48446	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS #21334	1419 N DORT HWY	FLINT	MI	48506	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS # 05371	2990 BAY ROAD	SAGINAW	MI	48603	01/01/2024
CH053300	WALGREEN CO.	DBA: WALGREENS #21274	3336 S DORT HWY	FLINT	MI	48507	01/01/2024
CH053300	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	01/01/2024
CH053300	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/01/2023
CH053300	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH053300	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY #11247	225 E STATE ST PO BOX 96	MONTROSE	MI	48457	01/01/2024
CH053300	WOODWARD DETROIT CVS, L.L.C.	DBA CVS/PHARMACY # 10790	111 NORTH MAIN STREET	FRANKENMUTH	MI	48734	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/1/2024 2:11:39 PM	2/11/2025 3:29:12 PM	2/11/2025 3:29 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1033619861	9/26/2024 3:23 PM
Medicaid Billing	NPI: State	Insert	Change Request		MI	9/26/2024 3:23 PM
Details	Last Recertification Date	Update	Recertification	2/27/2023 8:12:51 AM	2/1/2024 2:11:39 PM	2/1/2024 2:11 PM
Contacts	Primary Contact	Update	Recertification	Rogers, Lisa Director of Human Resources Hamilton Community Health Network, Inc. 8104064937	Smith, Kirk Chief Administrative Officer Hamilton Community Health Network 8104064912-4967	2/27/2023 8:12 AM
Details	Last Recertification Date	Update	Recertification	2/2/2022 12:13:18 PM	2/27/2023 8:12:51 AM	2/27/2023 8:12 AM
Contacts	Primary Contact	Update	Change Request	Pace, Sherry COO Hamilton Community Health Network 8104064951	Rogers, Lisa Director of Human Resources Hamilton Community Health Network, Inc. 8104064937	2/3/2022 7:50 AM
Details	Last Recertification Date	Update	Recertification	3/1/2021 11:31:29 AM	2/2/2022 12:13:18 PM	2/2/2022 12:13 PM
Details	Last Recertification Date	Update	Recertification	2/24/2020 4:03:42 PM	3/1/2021 11:31:29 AM	3/1/2021 11:31 AM
Details	Last Recertification Date	Update	Recertification	2/22/2019 4:51:00 PM	2/24/2020 4:03:42 PM	2/24/2020 4:03 PM
Details	Last Recertification Date	Update	Recertification		2/22/2019 4:51:00 PM	2/22/2019 4:51 PM
Details	State	Update		Approved	Active	4/1/2018 12:00 AM
Contacts	Signed By	Insert	New Registration		PIERCE, CLARENCE CEO Hamilton Community Health Network 8104064951	2/27/2018 4:10 PM
Details	340B ID	Update	New Registration		CH05330L	2/27/2018 4:10 PM
Dates	Participating Approval Date	Update	New Registration		2/27/2018 4:10:02 PM	2/27/2018 4:10 PM
Details	State	Update	New Registration	Pending	Approved	2/27/2018 4:10 PM
Dates	Signed By Date	Update	New Registration		2/27/2018 2:22:07 PM	2/27/2018 4:10 PM
Dates	Start Date	Update	New Registration		4/1/2018 12:00:00 AM	2/27/2018 4:10 PM
Addresses	Main Address	Insert	New Registration		812 Root Street 2nd Floor Flint, MI 48503-1541	2/26/2018 4:21 PM
Addresses	Billing Address	Insert	New Registration		Hamilton Community Health Network 225 East Fifth Street Suite 300 Flint, MI 48502	2/26/2018 4:21 PM
Contacts	Primary Contact	Insert	New Registration		Pace, Sherry COO Hamilton Community Health Network 8104064951	2/26/2018 4:21 PM
Contacts	Authorizing Official	Insert	New Registration		PIERCE, CLARENCE CEO Hamilton Community Health Network 8104064951	2/26/2018 4:21 PM
Details	Last Recertification Date	Insert	New Registration			2/26/2018 4:21 PM
Details	Grant Number	Insert	New Registration		H80CS00435	2/26/2018 4:21 PM
Details	340B ID	Insert	New Registration			2/26/2018 4:21 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			2/26/2018 4:21 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			2/26/2018 4:21 PM
Details	Medicare Provider Number	Insert	New Registration			2/26/2018 4:21 PM
Details	Entity Name	Insert	New Registration		HAMILTON COMMUNITY HEALTH NETWORK, INC.	2/26/2018 4:21 PM
Details	Program Code	Insert	New Registration		CH	2/26/2018 4:21 PM
Details	Entity Subname	Insert	New Registration		Hamilton Homeless Clinic	2/26/2018 4:21 PM
Dates	Participating Approval Date	Insert	New Registration			2/26/2018 4:21 PM
Details	State	Insert	New Registration		Pending	2/26/2018 4:21 PM
Dates	Registration Date	Insert	New Registration		2/26/2018 4:21:58 PM	2/26/2018 4:21 PM
Dates	Signed By Date	Insert	New Registration			2/26/2018 4:21 PM
Dates	Start Date	Insert	New Registration			2/26/2018 4:21 PM
Terminations	Termination Comments	Insert	New Registration			2/26/2018 4:21 PM
Terminations	Termination Date	Insert	New Registration			2/26/2018 4:21 PM
Terminations	Termination Effective Date	Insert	New Registration			2/26/2018 4:21 PM
Terminations	Termination Reason	Insert	New Registration			2/26/2018 4:21 PM

340B Drug Pricing Program Database