340B Drug Pricing Program Database


CH062235D Tensas Community Health Center (Active) - information as of 6/2/2025 8:31:05 AM

Main Details
Tensas Community Health Center
Vidalia Community Health Center
HRSA-Funded Health Center
BPS-H80-024807
CH062235D
H80CS06450


Additional Details
Active
10/14/2019
1/1/2020
10/16/2019
2/20/2025

Contacts

Tensas Community Health Center
JACQUELINE D. SCHAUF, CEO/EXECUTIVE DIRECTOR
(318) 766-1967

Tensas Community Health Center, Inc.
Courtney Tannehill, Business Office Manager
(318) 766-1967

Addresses

900 Carter Street STE A
Vidalia, LA 71373

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

No
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH062235AActiveBPS-H80-001630TENSAS COMMUNITY HEALTH CENTERTENSAS COMMUNITY HEALTH CENTER402 LEVEE STREET ST. JOSEPHLA
CH062235BActiveBPS-H80-008710Tensas Community Health CenterTensas Dental Clinic406 Levee Rd Saint JosephLA
CH062235CActiveBPS-H80-021903Tensas Community Health CenterTensas School-Based Health Center720 Plank Road Saint JosephLA
CH062235DActiveBPS-H80-024807Tensas Community Health CenterVidalia Community Health Center900 Carter Street STE A VidaliaLA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH062235AFRED'S XPRESS #3861705 PLANK ROAD PO BOX 5
ST JOSEPHLA7136607/01/2016 07/18/2018
CH062235AREEVES DRUG STORE307 CARTER ST
VIDALIALA71373-330501/01/2020  
CH062235ASCOTT'S PHARMACY114 SERIO BLVD
FERRIDAYLA7133407/01/2023  
CH062235ASCPG LOUISIANA LLC DBA: EXPRESS RX OF SA705 PLANK RD HWY 128
SAINT JOSEPHLA71366-661601/01/2022  
CH062235AVAUGHANS CITY DRUG CO OF CONC109 EE WALLACE BLVD N
FERRIDAYLA7133410/01/2018  
CH062235BVAUGHANS CITY DRUG CO OF CONC109 EE WALLACE BLVD N
FERRIDAYLA7133410/01/2018  
CH062235CVAUGHANS CITY DRUG CO OF CONC109 EE WALLACE BLVD N
FERRIDAYLA7133410/01/2018  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/28/2024 2:26:12 PM2/20/2025 4:15:48 PM2/20/2025 4:15 PM
ContactsPrimary ContactUpdateRecertificationJohnson, Dawn C Office Manager Tensas Community Health Center 3187661967Tannehill, Courtney Business Office Manager Tensas Community Health Center, Inc. 31876619672/28/2024 2:26 PM
DetailsLast Recertification DateUpdateRecertification2/3/2023 2:33:45 PM2/28/2024 2:26:12 PM2/28/2024 2:26 PM
DetailsLast Recertification DateUpdateRecertification1/31/2022 2:39:47 PM2/3/2023 2:33:45 PM2/3/2023 2:33 PM
DetailsLast Recertification DateUpdateRecertification3/9/2021 6:39:46 PM1/31/2022 2:39:47 PM1/31/2022 2:39 PM
DetailsLast Recertification DateUpdateRecertification2/20/2020 2:47:31 PM3/9/2021 6:39:46 PM3/9/2021 6:39 PM
DetailsLast Recertification DateUpdateRecertification 2/20/2020 2:47:31 PM2/20/2020 2:47 PM
DetailsStateUpdate ApprovedActive1/1/2020 12:04 AM
ContactsSigned ByInsertNew Registration SCHAUF, JACQUELINE D. CEO/EXECUTIVE DIRECTOR Tensas Community Health Center 318766196710/16/2019 1:36 PM
Details340B IDUpdateNew Registration CH062235D10/16/2019 1:36 PM
DatesParticipating Approval DateUpdateNew Registration 10/16/2019 1:36:14 PM10/16/2019 1:36 PM
DetailsStateUpdateNew RegistrationPendingApproved10/16/2019 1:36 PM
DatesSigned By DateUpdateNew Registration 10/14/2019 2:32:05 PM10/16/2019 1:36 PM
DatesStart DateUpdateNew Registration 1/1/2020 12:00:00 AM10/16/2019 1:36 PM
AddressesMain AddressInsertNew Registration  900 Carter Street STE A Vidalia, LA 7137310/14/2019 2:32 PM
ContactsAuthorizing OfficialInsertNew Registration SCHAUF, JACQUELINE D. CEO/EXECUTIVE DIRECTOR Tensas Community Health Center 318766196710/14/2019 2:32 PM
ContactsPrimary ContactInsertNew Registration Johnson, Dawn C Office Manager Tensas Community Health Center 318766196710/14/2019 2:32 PM
DetailsLast Recertification DateInsertNew Registration  10/14/2019 2:32 PM
DetailsGrant NumberInsertNew Registration H80CS0645010/14/2019 2:32 PM
Details340B IDInsertNew Registration  10/14/2019 2:32 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/14/2019 2:32 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/14/2019 2:32 PM
DetailsMedicare Provider NumberInsertNew Registration  10/14/2019 2:32 PM
DetailsEntity NameInsertNew Registration Tensas Community Health Center10/14/2019 2:32 PM
DetailsProgram CodeInsertNew Registration CH10/14/2019 2:32 PM
DetailsEntity SubnameInsertNew Registration Vidalia Community Health Center10/14/2019 2:32 PM
DatesParticipating Approval DateInsertNew Registration  10/14/2019 2:32 PM
DetailsStateInsertNew Registration Pending10/14/2019 2:32 PM
DatesRegistration DateInsertNew Registration 10/14/2019 2:32:02 PM10/14/2019 2:32 PM
DatesSigned By DateInsertNew Registration  10/14/2019 2:32 PM
DatesStart DateInsertNew Registration  10/14/2019 2:32 PM
TerminationsTermination CommentsInsertNew Registration  10/14/2019 2:32 PM
TerminationsTermination DateInsertNew Registration  10/14/2019 2:32 PM
TerminationsTermination Effective DateInsertNew Registration  10/14/2019 2:32 PM
TerminationsTermination ReasonInsertNew Registration  10/14/2019 2:32 PM