340B Drug Pricing Program Database


CHC30716-00 KNOX, COUNTY OF (Active) - information as of 5/2/2025 10:36:44 PM

Main Details
KNOX, COUNTY OF
Danville Community Health Center
HRSA-Funded Health Center
BPS-H80-034855
CHC30716-00
H80CS30716


Additional Details
Active
2/28/2020
4/1/2020
3/1/2020
2/10/2025

Contacts

Knox County Community Health Center
Nanette RN Snyder, Clinic Director
(740) 398-2842

Knox County Health Department
Lisa Dudgeon, Director of Nursing
(740) 392-2222 Ext: 2236

Addresses

12 East Main Street
Danville, OH 43014

Knox County General Health District
11660 Upper Gilchrist Road
Mount Vernon, OH 43050


  • 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
OH03928191760955975
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/14/202401/01/2025  01/01/2025
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/14/202401/01/2025  01/01/2025
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/14/202401/01/2025  01/01/2025
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/14/202401/01/2025  01/01/2025
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/14/202401/01/2025  01/01/2025
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/14/202401/01/2025  01/01/2025
Contract DetailADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280910/14/202401/01/2025  01/01/2025
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526110/14/202401/01/2025  01/01/2025
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/14/202401/01/2025  01/01/2025
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267010/14/202401/01/2025  01/01/2025
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620310/14/202401/01/2025  01/01/2025
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522610/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005610/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813310/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237410/14/202401/01/2025  01/01/2025
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/14/202401/01/2025  01/01/2025
Contract DetailCONWAY'S EASTSIDE PHARMACY1451 YAUGER RD STE 1H
MOUNT VERNONOH43050-790207/15/202110/01/2021 09/09/202410/14/2024
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/202410/01/2024  10/01/2024
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/202410/01/2024  10/01/2024
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502810/14/202401/01/2025  01/01/2025
Contract DetailDANVILLE HC, INCD.B.A CONWAY'S DANVILLE PHARMACY 14 EAST MAIN STREET
DANVILLEOH4301404/15/202007/01/2020  07/01/2020
Contract DetailDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654110/14/202401/01/2025  01/01/2025
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/14/202401/01/2025  01/01/2025
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/14/202401/01/2025  01/01/2025
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/14/202401/01/2025  01/01/2025
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/14/202401/01/2025  01/01/2025
Contract DetailFOSTER'S PHARMACY INCFOSTER'S PHARMACY 207 W HIGH ST
MOUNT VERNONOH43050-242701/18/202204/01/2022  04/01/2022
Contract DetailKNOX COMMUNITY HOSPITALDBA KCH EASTSIDE PHARMACY 1451 YAUGER RD
MOUNT VERNONOH4305010/15/202410/15/2024  10/16/2024
Contract DetailOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06151 900 COSHOCTON AVE
MOUNT VERNONOH4305007/01/202410/01/2024  10/01/2024
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/14/202401/01/2025  01/01/2025
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/14/202401/01/2025  01/01/2025
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681310/14/202401/01/2025  01/01/2025
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/14/202401/01/2025  01/01/2025
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #48611 141 PREBLE STREET
PORTLANDME0410110/14/202401/01/2025  01/01/2025
Contract DetailPROCARE PHARMACY, L.L.C.CVS/PHARMACY #48637 2700 NORTHEAST EXPY NE STE B800
BUILDING B 		ATLANTAGA3034510/14/202401/01/2025  01/01/2025
Contract DetailRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255010/14/202401/01/2025  01/01/2025
Contract DetailRITE AID OF OHIO, INC.RITE AID #3266 117 SOUTH MAIN STREET
FREDERICKTOWNOH4301904/05/202407/01/2024 07/24/202407/30/2024
Contract DetailRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500210/14/202401/01/2025  01/01/2025
Contract DetailSANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301310/14/202401/01/2025  01/01/2025
Contract DetailTHE LANE DRUG COMPANYRITE AID #2416 4 NEWARK ROAD
MT VERNONOH4305001/18/202204/01/2022 07/24/202407/30/2024
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/14/202110/01/2021  10/01/2021
Contract DetailWAL-MART PHARMACY 10-21491575 COSHOCTON AVE
MT VERNONOH4305007/14/202110/01/2021  10/01/2021
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/14/202110/01/2021  10/01/2021
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC30716-00ActiveBPS-H80-034855KNOX, COUNTY OFDanville Community Health Center12 East Main Street DanvilleOH
CHC30716-01ActiveBPS-H80-019325KNOX, COUNTY OFKCHD/KCCHC Main11660 Upper Gilchrist Rd Mount VernonOH
CHC30716-02ActiveBPS-H80-037972KNOX, COUNTY OFMount Vernon Health Center202 West Vine Street Mount VernonOH
CHC30716-03ActiveBPS-H80-034135KNOX, COUNTY OFKCCHC Walk-In Clinic207 W High St STE A Mount VernonOH
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC30716-00ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/01/2025  
CHC30716-00ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/01/2025  
CHC30716-00ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/01/2025  
CHC30716-00ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/01/2025  
CHC30716-00ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/01/2025  
CHC30716-00ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/01/2025  
CHC30716-00ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280901/01/2025  
CHC30716-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/01/2025  
CHC30716-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771301/01/2025  
CHC30716-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267001/01/2025  
CHC30716-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620301/01/2025  
CHC30716-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522601/01/2025  
CHC30716-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2025  
CHC30716-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2025  
CHC30716-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2025  
CHC30716-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2025  
CHC30716-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2025  
CHC30716-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2025  
CHC30716-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2025  
CHC30716-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2025  
CHC30716-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2025  
CHC30716-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2025  
CHC30716-00CONWAY'S EASTSIDE PHARMACY1451 YAUGER RD STE 1H
MOUNT VERNONOH43050-790210/01/2021 09/09/2024
CHC30716-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2024  
CHC30716-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2024  
CHC30716-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2025  
CHC30716-00DANVILLE HC, INCD.B.A CONWAY'S DANVILLE PHARMACY 14 EAST MAIN STREET
DANVILLEOH4301407/01/2020  
CHC30716-00DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654101/01/2025  
CHC30716-00ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111201/01/2025  
CHC30716-00EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313401/01/2025  
CHC30716-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801601/01/2025  
CHC30716-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607501/01/2025  
CHC30716-00FOSTER'S PHARMACY INCFOSTER'S PHARMACY 207 W HIGH ST
MOUNT VERNONOH43050-242704/01/2022  
CHC30716-00KNOX COMMUNITY HOSPITALDBA KCH EASTSIDE PHARMACY 1451 YAUGER RD
MOUNT VERNONOH4305010/15/2024  
CHC30716-00OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06151 900 COSHOCTON AVE
MOUNT VERNONOH4305010/01/2024  
CHC30716-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2025  
CHC30716-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2025  
CHC30716-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681301/01/2025  
CHC30716-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2025  
CHC30716-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #48611 141 PREBLE STREET
PORTLANDME0410101/01/2025  
CHC30716-00PROCARE PHARMACY, L.L.C.CVS/PHARMACY #48637 2700 NORTHEAST EXPY NE STE B800
BUILDING B 		ATLANTAGA3034501/01/2025  
CHC30716-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/01/2025  
CHC30716-00RITE AID OF OHIO, INC.RITE AID #3266 117 SOUTH MAIN STREET
FREDERICKTOWNOH4301907/01/2024 07/24/2024
CHC30716-01RITE AID OF OHIO, INC.RITE AID #3266 117 SOUTH MAIN STREET
FREDERICKTOWNOH4301907/01/2024  
CHC30716-02RITE AID OF OHIO, INC.RITE AID #3266 117 SOUTH MAIN STREET
FREDERICKTOWNOH4301907/01/2024  
CHC30716-03RITE AID OF OHIO, INC.RITE AID #3266 117 SOUTH MAIN STREET
FREDERICKTOWNOH4301907/01/2024  
CHC30716-00RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/01/2025  
CHC30716-00SANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301301/01/2025  
CHC30716-00THE LANE DRUG COMPANYRITE AID #2416 4 NEWARK ROAD
MT VERNONOH4305004/01/2022 07/24/2024
CHC30716-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2021  
CHC30716-00WAL-MART PHARMACY 10-21491575 COSHOCTON AVE
MT VERNONOH4305010/01/2021  
CHC30716-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2021  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/8/2024 3:28:47 PM2/10/2025 11:01:53 AM2/10/2025 11:01 AM
ContactsAuthorizing OfficialUpdateAO Change RequestBelangia, Lane K CEO Knox County Community Health Center 7403922222-2275Snyder, Nanette RN Clinic Director Knox County Community Health Center 74039828421/15/2025 7:32 AM
AddressesMain AddressUpdateChange Request 16 East Main Street Danville, OH 43014 12 East Main Street Danville, OH 430144/4/2024 9:42 AM
DetailsLast Recertification DateUpdateRecertification2/6/2023 3:00:19 PM2/8/2024 3:28:47 PM2/8/2024 3:28 PM
DetailsLast Recertification DateUpdateRecertification2/2/2022 2:52:52 PM2/6/2023 3:00:19 PM2/6/2023 3:00 PM
DetailsLast Recertification DateUpdateRecertification2/18/2021 9:11:39 AM2/2/2022 2:52:52 PM2/2/2022 2:52 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/18/2021 9:11 AM
Medicaid BillingMedicaid: NumberInsertRecertification 03928192/18/2021 9:11 AM
Medicaid BillingMedicaid: StateInsertRecertification OH2/18/2021 9:11 AM
Medicaid BillingNPI: StateUpdateRecertification OH2/18/2021 9:11 AM
DetailsLast Recertification DateUpdateRecertification 2/18/2021 9:11:39 AM2/18/2021 9:11 AM
DetailsStateUpdate ApprovedActive4/1/2020 12:05 AM
AddressesMain AddressUpdateChange Request Danville, OH 43014 16 East Main Street Danville, OH 430143/13/2020 2:26 PM
Medicaid BillingNPI: NumberInsertChange Request 17609559753/13/2020 2:26 PM
ContactsSigned ByInsertNew Registration Belangia, Lane K CEO Knox County Community Health Center 7403922222-22753/1/2020 8:14 PM
Details340B IDUpdateNew Registration CHC30716-003/1/2020 8:14 PM
DatesParticipating Approval DateUpdateNew Registration 3/1/2020 8:14:46 PM3/1/2020 8:14 PM
DetailsStateUpdateNew RegistrationPendingApproved3/1/2020 8:14 PM
DatesSigned By DateUpdateNew Registration 2/28/2020 2:49:50 PM3/1/2020 8:14 PM
DatesStart DateUpdateNew Registration 4/1/2020 12:00:00 AM3/1/2020 8:14 PM
AddressesMain AddressInsertNew Registration  Danville, OH 430142/28/2020 2:49 PM
AddressesBilling AddressInsertNew Registration Knox County General Health District 11660 Upper Gilchrist Road Mount Vernon, OH 430502/28/2020 2:49 PM
ContactsAuthorizing OfficialInsertNew Registration Belangia, Lane K CEO Knox County Community Health Center 7403922222-22752/28/2020 2:49 PM
ContactsPrimary ContactInsertNew Registration Dudgeon, Lisa Director of Nursing Knox County Health Department 7403922222-22362/28/2020 2:49 PM
DetailsLast Recertification DateInsertNew Registration  2/28/2020 2:49 PM
DetailsGrant NumberInsertNew Registration H80CS307162/28/2020 2:49 PM
Details340B IDInsertNew Registration  2/28/2020 2:49 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  2/28/2020 2:49 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  2/28/2020 2:49 PM
DetailsMedicare Provider NumberInsertNew Registration  2/28/2020 2:49 PM
DetailsEntity NameInsertNew Registration KNOX, COUNTY OF2/28/2020 2:49 PM
DetailsProgram CodeInsertNew Registration CH2/28/2020 2:49 PM
DetailsEntity SubnameInsertNew Registration Danville Community Health Center2/28/2020 2:49 PM
DatesParticipating Approval DateInsertNew Registration  2/28/2020 2:49 PM
DetailsStateInsertNew Registration Pending2/28/2020 2:49 PM
DatesRegistration DateInsertNew Registration 2/28/2020 2:49:47 PM2/28/2020 2:49 PM
DatesSigned By DateInsertNew Registration  2/28/2020 2:49 PM
DatesStart DateInsertNew Registration  2/28/2020 2:49 PM
TerminationsTermination CommentsInsertNew Registration  2/28/2020 2:49 PM
TerminationsTermination DateInsertNew Registration  2/28/2020 2:49 PM
TerminationsTermination Effective DateInsertNew Registration  2/28/2020 2:49 PM
TerminationsTermination ReasonInsertNew Registration  2/28/2020 2:49 PM