340B Drug Pricing Program Database


CHC10583-02 EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC (Active) - information as of 5/29/2025 2:01:18 AM

Main Details
EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC
ECO Family Health Center-Henryetta Behavioral Health Services
HRSA-Funded Health Center
BPS-H80-011618
CHC10583-02
H80CS10583


Additional Details
Active
1/23/2020
4/1/2020
2/28/2020
2/10/2025

Contacts

East Central Oklahoma Family Health Center, Inc,
DONNA DYER, CEO
(405) 452-3151 Ext: 4101

East Central Oklahoma Family Health Center, Inc
Denice Hicks, CFO
(405) 452-3151 Ext: 4102

Addresses

1102 W Main St
Henryetta, OK 74437-4232

East Central Oklahoma Family Health Center
120 E. Broadway
PO Box 236
Wetumka, OK 74883-0236


  • 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
CHC10583-00ActiveBPS-H80-011271EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INCEast Central Oklahoma Family Health Center, Inc.109 S. Main WetumkaOK
CHC10583-01ActiveBPS-H80-017930EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INCECOFHC Henryetta104 East Shurden Industrial Blvd HenryettaOK
CHC10583-02ActiveBPS-H80-011618EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INCECO Family Health Center-Henryetta Behavioral Health Services1102 W Main St HenryettaOK
CHC10583-03ActiveBPS-H80-033424EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INCECO Family Health Center Wewoka207 W. 1st Street WewokaOK
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC10583-00HENRYETTA DRUGOKEMAH PHARMACY INC 623 W MAIN ST
HENRYETTAOK74437-424504/01/2013  
CHC10583-00M & D STAR DRUGOKEMAH PHARMACY MANAGEMENT LLC 108 S MORTON
OKMULGEEOK7444704/01/2019 01/06/2020
CHC10583-00NORMAN DRUG CO109 N WEWOKA AVE POX 899
WEWOKAOK7488407/01/2015 06/26/2020
CHC10583-00OKEMAH PHARMACY INC106 S WOODY GUTHRIE ST
OKEMAHOK74859-404704/01/2013  
CHC10583-00OKMULGEE DISCOUNT PHARMACY1160 SOUTH BELMONT
OKMULGEEOK7444704/01/2020  
CHC10583-00SEMINOLE DRUG1717 N MILT PHILLIPS
SEMINOLEOK7486801/01/2023  
CHC10583-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2019  
CHC10583-00WAL-MART PHARMACY 10-01211800 S WOOD DRIVE
OKMULGEEOK7444704/01/2019  
CHC10583-00WAL-MART PHARMACY 10-0210500 E HIGHWAY 270
HOLDENVILLEOK7484801/01/2023  
CHC10583-00WAL-MART PHARMACY 10-0247605 E MAIN
HENRYETTAOK7443704/01/2019  
CHC10583-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2019  
CHC10583-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616807/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/31/2024 12:11:09 PM2/10/2025 3:18:00 PM2/10/2025 3:18 PM
DetailsLast Recertification DateUpdateRecertification2/8/2023 12:17:57 PM1/31/2024 12:11:09 PM1/31/2024 12:11 PM
DetailsLast Recertification DateUpdateRecertification2/1/2022 4:23:34 PM2/8/2023 12:17:57 PM2/8/2023 12:17 PM
DetailsLast Recertification DateUpdateRecertification2/3/2021 9:50:48 AM2/1/2022 4:23:34 PM2/1/2022 4:23 PM
DetailsLast Recertification DateUpdateRecertification 2/3/2021 9:50:48 AM2/3/2021 9:50 AM
DetailsStateUpdate ApprovedActive4/1/2020 12:05 AM
ContactsSigned ByInsertNew Registration DYER, DONNA CEO East Central Oklahoma Family Health Center, Inc, 4054523151-41012/28/2020 5:06 PM
Details340B IDUpdateNew Registration CHC10583-022/28/2020 5:06 PM
DatesParticipating Approval DateUpdateNew Registration 2/28/2020 5:06:10 PM2/28/2020 5:06 PM
DetailsStateUpdateNew RegistrationPendingApproved2/28/2020 5:06 PM
DatesSigned By DateUpdateNew Registration 1/23/2020 10:11:59 AM2/28/2020 5:06 PM
DatesStart DateUpdateNew Registration 4/1/2020 12:00:00 AM2/28/2020 5:06 PM
AddressesMain AddressInsertNew Registration  1102 W Main St Henryetta, OK 74437-42321/23/2020 10:11 AM
AddressesBilling AddressInsertNew Registration East Central Oklahoma Family Health Center 120 E. Broadway PO Box 236 Wetumka, OK 74883-02361/23/2020 10:11 AM
ContactsPrimary ContactInsertNew Registration Hicks, Denice CFO East Central Oklahoma Family Health Center, Inc 4054523151-41021/23/2020 10:11 AM
ContactsAuthorizing OfficialInsertNew Registration DYER, DONNA CEO East Central Oklahoma Family Health Center, Inc, 4054523151-41011/23/2020 10:11 AM
DetailsLast Recertification DateInsertNew Registration  1/23/2020 10:11 AM
DetailsGrant NumberInsertNew Registration H80CS105831/23/2020 10:11 AM
Details340B IDInsertNew Registration  1/23/2020 10:11 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/23/2020 10:11 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/23/2020 10:11 AM
DetailsMedicare Provider NumberInsertNew Registration  1/23/2020 10:11 AM
DetailsEntity NameInsertNew Registration EAST CENTRAL OKLAHOMA FAMILY HEALTH CENTER INC1/23/2020 10:11 AM
DetailsProgram CodeInsertNew Registration CH1/23/2020 10:11 AM
DetailsEntity SubnameInsertNew Registration ECO Family Health Center-Henryetta Behavioral Health Services1/23/2020 10:11 AM
DatesParticipating Approval DateInsertNew Registration  1/23/2020 10:11 AM
DetailsStateInsertNew Registration Pending1/23/2020 10:11 AM
DatesRegistration DateInsertNew Registration 1/23/2020 10:11:57 AM1/23/2020 10:11 AM
DatesSigned By DateInsertNew Registration  1/23/2020 10:11 AM
DatesStart DateInsertNew Registration  1/23/2020 10:11 AM
TerminationsTermination CommentsInsertNew Registration  1/23/2020 10:11 AM
TerminationsTermination DateInsertNew Registration  1/23/2020 10:11 AM
TerminationsTermination Effective DateInsertNew Registration  1/23/2020 10:11 AM
TerminationsTermination ReasonInsertNew Registration  1/23/2020 10:11 AM