340B Drug Pricing Program Database


CH071190 Affinia Healthcare (Active) - information as of 5/14/2025 10:57:56 PM

Main Details
Affinia Healthcare
2220 Lemp
HRSA-Funded Health Center
BPS-H80-001312
CH071190
H80CS00415


Additional Details
Active
12/1/1992
12/1/1992
2/9/2005
2/10/2025

Contacts

Affinia Healthcare
Leslie S O'Connor, CFO
(618) 343-5786

Affinia Healthcare
Kendra Holmes, President CEO
(314) 779-7530

Addresses

2220 Lemp Ave.
Saint Louis, MO 63104-2700

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MO600400717,5072760041134134745,1003824293
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH071190ActiveBPS-H80-001312Affinia Healthcare2220 Lemp2220 Lemp Ave. Saint LouisMO
CH07119AAActiveBPS-H80-019671Affinia HealthcareAffinia Healthcare 6763 Page6763 Page Ave. PagedaleMO
CH07119ABTerminatedBPS-H80-000009Affinia HealthcareBJC Behavioral Health1430 Olive Street STE 400 St. LouisMO
CH07119ACActiveBPS-H80-032899Affinia HealthcareAffinia Healthcare at Salvation Army Midtown Service and Treatment Center2900 Washington Ave Ste 100 ST. LOUISMO
CH07119ADTerminatedBPS-H80-035212Affinia HealthcareLift for Life Academy1901 South Broadway Saint LouisMO
CH07119AETerminatedBPS-H80-024589Affinia HealthcareAspire Academy Confluence Charter School5421 Thekla Ave Saint LouisMO
CH07119AFActiveBPS-H80-033817AFFINIA HEALTHCAREAffinia Healthcare Ferguson3396 Pershall Rd FergusonMO
CH07119BActiveBPS-H80-009436Affinia HealthcareAffinia Healthcare at N. Florissant4414 N Florissant Ave Saint LouisMO
CH07119CActiveBPS-H80-009606Affinia HealthcareAffinia Healthcare at S. Broadway3930 S. Broadway Saint LouisMO
CH07119UTerminatedBPS-H80-001312GRACE HILL HEALTH CENTER INCSOULARD BENTON HEALTH CENTER2220 LEMP AVE ST. LOUISMO
CH07119WActiveBPS-H80-001984Affinia HealthcareAffinia Healthcare at Biddle1717 Biddle St Saint LouisMO
CH07119XActiveBPS-H80-014104Affinia HealthcareFlance Early Learning Center1908 OFALLON ST SAINT LOUISMO
CH07119YActiveBPS-H80-015275Affinia HealthcareAffinia Healthcare at The St. Louis Dental Center1500 Park Ave. Saint LouisMO
CH07119ZTerminatedBPS-H80-020972Affinia HealthcareAffinia Healthcare at Normandy High School6701 St. Charles Rock Road Saint LouisMO
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/29/2024 2:36:56 PM2/10/2025 10:45:37 AM2/10/2025 10:45 AM
DetailsLast Recertification DateUpdateRecertification2/3/2023 9:43:01 AM1/29/2024 2:36:56 PM1/29/2024 2:36 PM
ContactsPrimary ContactUpdateProfile Change RequestHolmes, Kendra VP/COO Affinia Healthcare 3146584868Holmes, Kendra President CEO Affinia Healthcare 31477975301/29/2024 9:23 AM
DetailsLast Recertification DateUpdateRecertification2/1/2022 5:41:31 PM2/3/2023 9:43:01 AM2/3/2023 9:43 AM
ContactsAuthorizing OfficialUpdateAO Change RequestVoss, Janet VP and CFO Affinia Healthcare 3148148571O'Connor, Leslie S CFO Affinia Healthcare 61834357862/2/2023 2:07 PM
DetailsLast Recertification DateUpdateRecertification2/3/2021 5:00:21 PM2/1/2022 5:41:31 PM2/1/2022 5:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/3/2021 5:00 PM
Medicaid BillingMedicaid: NumberInsertRecertification 6004007172/3/2021 5:00 PM
Medicaid BillingMedicaid: StateInsertRecertification MO2/3/2021 5:00 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/3/2021 5:00 PM
Medicaid BillingMedicaid: NumberInsertRecertification 5072760042/3/2021 5:00 PM
Medicaid BillingMedicaid: StateInsertRecertification MO2/3/2021 5:00 PM
Medicaid BillingNPI: NumberInsertRecertification 10038242932/3/2021 5:00 PM
Medicaid BillingNPI: StateInsertRecertification MO2/3/2021 5:00 PM
Medicaid BillingNPI: StateUpdateRecertification MO2/3/2021 5:00 PM
DetailsLast Recertification DateUpdateRecertification1/28/2020 11:46:33 AM2/3/2021 5:00:21 PM2/3/2021 5:00 PM
DetailsLast Recertification DateUpdateRecertification1/29/2019 8:12:35 AM1/28/2020 11:46:33 AM1/28/2020 11:46 AM
DetailsEntity SubnameUpdateRecertification2200 Lemp 2220 Lemp1/28/2020 11:46 AM
DetailsLast Recertification DateUpdateRecertification2/19/2018 11:24:00 AM1/29/2019 8:12:35 AM1/29/2019 8:12 AM
ContactsPrimary ContactUpdateRecertificationHolmes, Kendra Director of Pharmacy 3148148638Holmes, Kendra VP/COO Affinia Healthcare 31465848682/19/2018 11:24 AM
DetailsLast Recertification DateUpdateRecertification2/14/2017 12:00:00 AM2/19/2018 11:24:00 AM2/19/2018 11:24 AM
ContactsAuthorizing OfficialUpdate Voss, Janet VP and CFO 3148148571Voss, Janet VP and CFO Affinia Healthcare 31481485712/7/2018 11:38 AM
AddressesMain AddressInsert   2220 Lemp Ave. Saint Louis, MO 63104-27002/21/2017 3:44 PM
ContactsAuthorizing OfficialUpdate GRAM, RICHARD EXECUTIVE DIRECTOR 3145399510Voss, Janet VP and CFO 31481485712/21/2017 3:44 PM
ContactsPrimary ContactUpdate APPOO, VILLIE ASSOCIATE EXECUTIVE DIRECTOR 3145399509Holmes, Kendra Director of Pharmacy 31481486382/21/2017 3:44 PM
Medicaid BillingNPI: NumberInsert  11341347452/21/2017 3:43 PM
DetailsLast Recertification DateUpdate 2/26/2016 12:00:00 AM2/14/2017 12:00:00 AM2/21/2017 3:43 PM
DetailsEntity SubnameUpdate GRACE HILL HADLEY2200 Lemp 3/17/2016 8:23 AM
DetailsLast Recertification DateUpdate 1/28/2015 12:00:00 AM2/26/2016 12:00:00 AM3/3/2016 2:52 PM
DetailsEntity NameUpdate GRACE HILL HEALTH CENTER INCAffinia Healthcare5/28/2015 7:56 AM
DetailsLast Recertification DateUpdate 2/10/2014 12:00:00 AM1/28/2015 12:00:00 AM1/28/2015 2:45 PM
DetailsEntity NameUpdate GRACE HILL NEIGHBORHOOD HEALTH CENTERS, INC.GRACE HILL HEALTH CENTER INC3/31/2014 4:25 PM
DetailsEntity SubnameUpdate  GRACE HILL HADLEY3/31/2014 4:25 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM2/10/2014 12:00:00 AM2/10/2014 11:17 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM3/15/2013 10:01 AM
ContactsAuthorizing OfficialInsert  GRAM, RICHARD EXECUTIVE DIRECTOR 314539951011/7/2006 1:49 PM
ContactsPrimary ContactInsert  APPOO, VILLIE ASSOCIATE EXECUTIVE DIRECTOR 314539950911/17/2005 2:43 PM
DetailsLast Recertification DateInsert   11/17/2005 2:37 PM
DetailsGrant NumberInsert  H80CS0041511/17/2005 2:37 PM
Details340B IDInsert  CH07119011/17/2005 2:37 PM
DetailsIs Authorizing Official EHB DataInsert   11/17/2005 2:37 PM
DatesLast Date That 340B Drugs PurchasedInsert   11/17/2005 2:37 PM
DetailsMedicare Provider NumberInsert   11/17/2005 2:37 PM
DetailsEntity NameInsert  GRACE HILL NEIGHBORHOOD HEALTH CENTERS, INC.11/17/2005 2:37 PM
DetailsProgram CodeInsert  CH11/17/2005 2:37 PM
DetailsEntity SubnameInsert   11/17/2005 2:37 PM
DatesParticipating Approval DateInsert  2/9/2005 12:00:00 AM11/17/2005 2:37 PM
DetailsStateInsert  Active11/17/2005 2:37 PM
DatesRegistration DateInsert  12/1/1992 12:00:00 AM11/17/2005 2:37 PM
DatesSigned By DateInsert   11/17/2005 2:37 PM
DatesStart DateInsert  12/1/1992 12:00:00 AM11/17/2005 2:37 PM
TerminationsTermination CommentsInsert   11/17/2005 2:37 PM
TerminationsTermination DateInsert   11/17/2005 2:37 PM
TerminationsTermination Effective DateInsert   11/17/2005 2:37 PM
TerminationsTermination ReasonInsert   11/17/2005 2:37 PM