Covered Entity Details

CHC32521-07 COMMUNITY HEALTH CARE CENTER, INCORPORATED (Terminated) - information as of 6/12/2025 9:47:13 PM

Main Details

Name

COMMUNITY HEALTH CARE CENTER, INCORPORATED

Subdivision Name

Community Health Care Center SBHC North Middle School

Type

HRSA-Funded Health Center

Site ID

BPS-H80-027422

340B ID

CHC32521-07

Grant Number

H80CS32521

Additional Details

Current Program Status

Terminated

Registration Date

4/15/2019

Participating Start Date

7/1/2019

Participating Approval Date

5/7/2019

Last Recertification Date

1/30/2023

Termination Date
Termination Reason

1/1/2024
Never implemented the 340B Program

Contacts

Authorizing Official

Community Health Care Center, Inc.
Trista Besich, Chief Executive Officer
(406) 761-9887

Primary Contact

Community Health Care Center, Inc
Mark Groeller, Compliance Director
(406) 454-6973

Addresses

Street Address

2601 8th St NE
Great Falls, MT 59404-1604

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

Shipping Address 1

Community Health Care Center
601 1st Ave N
Great Falls, MT 59401-2510

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
CHC32521-00	Terminated	BPS-H80-027140	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center SBHC PGEC	2400 Central Ave RM 118	Great Falls	MT
CHC32521-01	Terminated	BPS-H80-027420	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center SBHC Charles M. Russell High School	228 17th Ave NW	Great Falls	MT
CHC32521-02	Terminated	BPS-H80-027421	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center SBHC East Middle School	4040 Central Ave	Great Falls	MT
CHC32521-03	Active	BPS-H80-027139	Community Health Care Center, Incorporated	Community Health Care Center @ CCHD	115 4th St S	Great Falls	MT
CHC32521-04	Terminated	BPS-H80-027138	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center Addictions Clinic	26 4th St N	Great Falls	MT
CHC32521-05	Terminated	BPS-H80-027418	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center SBHC Belt	1 Church St	Belt	MT
CHC32521-06	Terminated	BPS-H80-027141	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center SBHC GS	520 32nd St N	Great Falls	MT
CHC32521-07	Terminated	BPS-H80-027422	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center SBHC North Middle School	2601 8th St NE	Great Falls	MT
CHC32521-08	Active	BPS-H80-027137	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center Dental Clinic	202 2nd Ave S STE 203	Great Falls	MT
CHC32521-09	Terminated	BPS-H80-027419	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center SBHC Great Falls High School	1900 2nd Ave S	Great Falls	MT
CHC32521-10	Active	BPS-H80-027340	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center Inc	601 1st Ave N	Great Falls	MT
CHC32521-11	Active	BPS-H80-031308	Community Health Care Center, Incorporated	Community Health Care Center - Longfellow Elementary	1101 7th Ave S RM 109	Great Falls	MT
CHC32521-12	Terminated	BPS-H80-032057	Community Health Care Center, Incorporated	Community Health Care Center, Alliance For Youth Resource Center	3220 11th Ave S Ste D	Great Falls	MT
CHC32521-13	Terminated	BPS-H80-032612	Community Health Care Center, Incorporated	Community Health Care Center - Vaughn	480 Central Ave Bldg 1	Vaughn	MT
CHC32521-14	Terminated	BPS-H80-033620	Community Health Care Center, Incorporated	Community Health Care Center - Cascade	321 Central Ave W Rm 138	Cascade	MT
CHC32521-15	Active	BPS-H80-035142	Community Health Care Center, Incorporated	Community Health Care Center - Choteau	19 1st St NE	Choteau	MT
CHC32521-16	Active	BPS-H80-036605	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center - Mobile Medical Unit	19 1st Street Northeast	Choteau	MT
CHC32521-17	Active	BPS-H80-029795	COMMUNITY HEALTH CARE CENTER, INCORPORATED	Community Health Care Center Mobile Dental	1 Church St	Belt	MT

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC32521-10	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/01/2024
CHC32521-10	ALBERTSONS LLC	OSCO PHARMACY #37	2250 10TH AVENUE SOUTH	GREAT FALLS	MT	59405	07/01/2019
CHC32521-10	ALBERTSONS LLC	OSCO PHARMACY #35	1414 3RD STREET NORTHWEST	GREAT FALLS	MT	59404	07/01/2019
CHC32521-10	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2024
CHC32521-10	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2024
CHC32521-10	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2024
CHC32521-10	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2024
CHC32521-10	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2024
CHC32521-10	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2024
CHC32521-10	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2024
CHC32521-10	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2024
CHC32521-10	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2024
CHC32521-10	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2024
CHC32521-10	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2024
CHC32521-10	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08624	2001 10TH AVENUE SOUTH	GREAT FALLS	MT	59405	01/01/2020
CHC32521-10	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2024
CHC32521-10	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2024
CHC32521-10	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2024
CHC32521-10	SMITH'S FOOD &DRUG CENTERS	SMITH'S PHARMACY #166	1601 MARKET PLACE DRIVE	GREAT FALLS	MT	59404	04/01/2020
CHC32521-10	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2020
CHC32521-10	WAL-MART PHARMACY 10-2455	701 SMELTER AVENUE NE		GREAT FALLS	MT	59404	01/01/2020
CHC32521-10	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2020
CHC32521-10	WALGREEN CO	DBA: WALGREENS #10859	1213 3RD ST NW	GREAT FALLS	MT	59404-4116	07/01/2019
CHC32521-10	WALGREEN CO	DBA: WALGREENS #10083	2301 10TH AVE S	GREAT FALLS	MT	59405-2967	07/01/2019
CHC32521-10	Walgreens #21435	Walgreens Central Fill #21435	6306 S Airport Rd	West Jordan	UT	84084-5601	07/01/2025
CHC32521-10	Walgreens #88008	5100 Lake Ter NE		Mount Vernon	IL	62864	07/01/2019	07/01/2019
CHC32521-10	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC32521-10	WALMART PHARMACY 10-7199	5320 10TH AVE S		GREAT FALLS	MT	59405	01/01/2020
CHC32521-10	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	1/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		10/2/2023 12:00:00 AM	10/3/2023 9:37 AM
Details	State	Update	Termination Request	Active	To Be Terminated	10/3/2023 9:37 AM
Terminations	Termination Comments	Update	Termination Request		Mental Health services only. Never employed prescriber at this location.	10/3/2023 9:37 AM
Terminations	Termination Date	Update	Termination Request		1/1/2024 12:00:00 AM	10/3/2023 9:37 AM
Terminations	Termination Effective Date	Update	Termination Request		10/2/2023 12:00:00 AM	10/3/2023 9:37 AM
Terminations	Termination Reason	Update	Termination Request		Never implemented the 340B Program	10/3/2023 9:37 AM
Details	Last Recertification Date	Update	Recertification	2/1/2022 8:20:33 AM	1/30/2023 9:31:58 AM	1/30/2023 9:31 AM
Details	Last Recertification Date	Update	Recertification	2/8/2021 10:10:23 AM	2/1/2022 8:20:33 AM	2/1/2022 8:20 AM
Details	Last Recertification Date	Update	Recertification	1/28/2020 9:27:03 AM	2/8/2021 10:10:23 AM	2/8/2021 10:10 AM
Contacts	Primary Contact	Update	Profile Change Request	Groeller, Mark COO Community Health Care Center, Inc 4064546973	Groeller, Mark Compliance Director Community Health Care Center, Inc 4064546973	2/1/2021 3:41 PM
Details	Last Recertification Date	Update	Recertification		1/28/2020 9:27:03 AM	1/28/2020 9:27 AM
Details	State	Update		Approved	Active	7/1/2019 12:05 AM
Contacts	Signed By	Insert	New Registration		Besich, Trista Chief Executive Officer Community Health Care Center, Inc. 4067619887	5/7/2019 8:44 AM
Details	340B ID	Update	New Registration		CHC32521-07	5/7/2019 8:44 AM
Dates	Participating Approval Date	Update	New Registration		5/7/2019 8:44:38 AM	5/7/2019 8:44 AM
Details	State	Update	New Registration	Pending	Approved	5/7/2019 8:44 AM
Dates	Signed By Date	Update	New Registration		4/15/2019 1:55:02 PM	5/7/2019 8:44 AM
Dates	Start Date	Update	New Registration		7/1/2019 12:00:00 AM	5/7/2019 8:44 AM
Addresses	Main Address	Insert	New Registration		2601 8th St NE Great Falls, MT 59404-1604	4/15/2019 11:53 AM
Addresses	Shipping Address	Insert	New Registration		Community Health Care Center 601 1st Ave N Great Falls, MT 59401-2510	4/15/2019 11:53 AM
Contacts	Primary Contact	Insert	New Registration		Groeller, Mark COO Community Health Care Center, Inc 4064546973	4/15/2019 11:53 AM
Contacts	Authorizing Official	Insert	New Registration		Besich, Trista Chief Executive Officer Community Health Care Center, Inc. 4067619887	4/15/2019 11:53 AM
Details	Last Recertification Date	Insert	New Registration			4/15/2019 11:53 AM
Details	Grant Number	Insert	New Registration		H80CS32521	4/15/2019 11:53 AM
Details	340B ID	Insert	New Registration			4/15/2019 11:53 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/15/2019 11:53 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/15/2019 11:53 AM
Details	Medicare Provider Number	Insert	New Registration			4/15/2019 11:53 AM
Details	Entity Name	Insert	New Registration		COMMUNITY HEALTH CARE CENTER, INCORPORATED	4/15/2019 11:53 AM
Details	Program Code	Insert	New Registration		CH	4/15/2019 11:53 AM
Details	Entity Subname	Insert	New Registration		Community Health Care Center SBHC North Middle School	4/15/2019 11:53 AM
Dates	Participating Approval Date	Insert	New Registration			4/15/2019 11:53 AM
Details	State	Insert	New Registration		Pending	4/15/2019 11:53 AM
Dates	Registration Date	Insert	New Registration		4/15/2019 11:53:38 AM	4/15/2019 11:53 AM
Dates	Signed By Date	Insert	New Registration			4/15/2019 11:53 AM
Dates	Start Date	Insert	New Registration			4/15/2019 11:53 AM
Terminations	Termination Comments	Insert	New Registration			4/15/2019 11:53 AM
Terminations	Termination Date	Insert	New Registration			4/15/2019 11:53 AM
Terminations	Termination Effective Date	Insert	New Registration			4/15/2019 11:53 AM
Terminations	Termination Reason	Insert	New Registration			4/15/2019 11:53 AM

340B Drug Pricing Program Database