Covered Entity Details

CH08499K Community Health Partners, Inc. (Terminated) - information as of 6/27/2025 12:35:10 AM

Main Details

Name

Community Health Partners, Inc.

Subdivision Name

CHP-Panther Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-030364

340B ID

CH08499K

Grant Number

H80CS00736

Additional Details

Current Program Status

Terminated

Registration Date

9/17/2020

Participating Start Date

9/17/2020

Participating Approval Date

9/17/2020

Last Recertification Date

1/31/2024

Termination Date
Termination Reason

10/1/2024
Other

Contacts

Authorizing Official

Community Health Partners, Inc.
Lander Cooney, CEO
(406) 823-6316

Primary Contact

Community Health Partners, Inc.
Shawn Patrick, Director of Pharmacy
(406) 922-0843

Addresses

Street Address

410 Triple Crown St Rm A108
Belgrade, MT 59714-3402

Billing Address

Community Health Partners, Inc.
112 W Lewis Street
Livingston, MT 59047

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

Same as Street Address

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
Contract Detail	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	10/12/2023	01/01/2024		10/01/2024	10/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH084990	Terminated	BPS-H80-001346	COMMUNITY HEALTH PARTNERS, INC.	COMMUNITY HEALTH PARTNERS, INC.	112 W Lewis St	Livingston	MT
CH08499A	Terminated	BPS-H80-033612	COMMUNITY HEALTH PARTNERS, INC.	CHP - Bozeman	1695 Tschache Lane	Bozeman	MT
CH08499G	Terminated	BPS-H80-003762	COMMUNITY HEALTH PARTNERS, INC.	CHP-Belgrade	19 E Main St	Belgrade	MT
CH08499H	Terminated	BPS-H80-010365	COMMUNITY HEALTH PARTNERS, INC.	CHP - West Yellowstone	11 S. Electric Street	West Yellowstone	MT
CH08499J	Terminated	BPS-H80-001676	COMMUNITY HEALTH PARTNERS, INC.	CHP-Bozeman Dental Clinic	120 N 19TH AVE	BOZEMAN	MT
CH08499K	Terminated	BPS-H80-030364	Community Health Partners, Inc.	CHP-Panther Clinic	410 Triple Crown St Rm A108	Belgrade	MT

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH084990	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	10/01/2020	10/01/2024
CH084990	ALBERTSONS LLC	OSCO PHARMACY #42	2120 PARK STREET SOUTH	LIVINGSTON	MT	59047	10/01/2020	10/01/2024
CH08499H	ALBERTSONS LLC	OSCO PHARMACY #42	2120 PARK STREET SOUTH	LIVINGSTON	MT	59047	10/01/2020	04/01/2023
CH08499J	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	10/01/2020	07/01/2022
CH08499G	ALBERTSONS LLC	OSCO PHARMACY #42	2120 PARK STREET SOUTH	LIVINGSTON	MT	59047	10/01/2020	01/02/2023
CH08499G	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	10/01/2020	01/02/2023
CH08499A	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	10/01/2020	01/02/2023
CH08499H	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	10/01/2020	04/01/2023
CH08499A	ALBERTSONS LLC	OSCO PHARMACY #42	2120 PARK STREET SOUTH	LIVINGSTON	MT	59047	10/01/2020	01/02/2023
CH08499J	ALBERTSONS LLC	OSCO PHARMACY #42	2120 PARK STREET SOUTH	LIVINGSTON	MT	59047	10/01/2020	07/01/2022
CH08499K	ALBERTSONS LLC	OSCO PHARMACY #9	6999 JACKRABBIT LANE	BELGRADE	MT	59714	01/01/2024	10/01/2024
CH08499A	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2020	01/02/2023
CH08499H	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2020	04/01/2023
CH08499G	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2020	01/02/2023
CH084990	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2020	05/01/2024
CH08499J	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2020	07/01/2022
CH08499A	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2020	01/02/2023
CH08499J	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2020	07/01/2022
CH08499G	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2020	01/02/2023
CH08499H	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2020	04/01/2023
CH084990	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2020	05/01/2024
CH084990	LEE & DAD'S IGA	ATTN: PATRICK NIX, PHARMACIST IN CHARGE	205 WEST MADISON AVENUE	BELGRADE	MT	59714	09/15/2010	01/01/2016
CH08499A	LEE & DAD'S IGA	ATTN: PATRICK NIX, PHARMACIST IN CHARGE	205 WEST MADISON AVENUE	BELGRADE	MT	59714	09/15/2010	10/01/2018
CH08499G	LEE & DAD'S IGA	ATTN: PATRICK NIX, PHARMACIST IN CHARGE	205 WEST MADISON AVENUE	BELGRADE	MT	59714	04/01/2008	10/01/2018
CH084990	LEE AND DADS GROCERY, INC	DBA TOWN AND COUNTRY FOODS	205 W MADISON AVE	BELGRADE	MT	59714	01/01/2016	10/01/2024
CH08499J	LEE AND DADS GROCERY, INC	DBA TOWN AND COUNTRY FOODS	205 W MADISON AVE	BELGRADE	MT	59714	07/01/2018	07/01/2022
CH08499H	LEE AND DADS GROCERY, INC	DBA TOWN AND COUNTRY FOODS	205 W MADISON AVE	BELGRADE	MT	59714	07/01/2018	04/01/2023
CH08499G	LEE AND DADS GROCERY, INC	DBA TOWN AND COUNTRY FOODS	205 W MADISON AVE	BELGRADE	MT	59714	10/01/2018	01/02/2023
CH08499A	LEE AND DADS GROCERY, INC	DBA TOWN AND COUNTRY FOODS	205 W MADISON AVE	BELGRADE	MT	59714	10/01/2018	01/02/2023
CH084990	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08621	115 NORTH 19TH AVENUE	BOZEMAN	MT	59718	10/01/2020	05/01/2024
CH084990	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08627	1275 HARRISON ST.	BUTTE	MT	59701	10/01/2020	05/01/2024
CH08499A	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08621	115 NORTH 19TH AVENUE	BOZEMAN	MT	59718	10/01/2020	01/02/2023
CH08499A	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08627	1275 HARRISON ST.	BUTTE	MT	59701	10/01/2020	01/02/2023
CH08499G	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08627	1275 HARRISON ST.	BUTTE	MT	59701	10/01/2020	01/02/2023
CH08499J	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08621	115 NORTH 19TH AVENUE	BOZEMAN	MT	59718	10/01/2020	07/01/2022
CH08499H	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08621	115 NORTH 19TH AVENUE	BOZEMAN	MT	59718	10/01/2020	04/01/2023
CH08499H	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08627	1275 HARRISON ST.	BUTTE	MT	59701	10/01/2020	04/01/2023
CH08499J	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08627	1275 HARRISON ST.	BUTTE	MT	59701	10/01/2020	07/01/2022
CH08499G	MONTANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08621	115 NORTH 19TH AVENUE	BOZEMAN	MT	59718	10/01/2020	01/02/2023
CH084990	PRICE RITE DRUG	910 N 7TH AVE		BOZEMAN	MT	59715-2500	09/15/2010	10/01/2024
CH08499A	PRICE RITE DRUG	910 N 7TH AVE		BOZEMAN	MT	59715-2500	06/19/2006	01/02/2023
CH08499G	PRICE RITE DRUG	910 N 7TH AVE		BOZEMAN	MT	59715-2500	09/15/2010	01/02/2023
CH08499H	PRICE RITE DRUG	910 N 7TH AVE		BOZEMAN	MT	59715-2500	07/01/2018	04/01/2023
CH08499J	PRICE RITE DRUG	910 N 7TH AVE		BOZEMAN	MT	59715-2500	07/01/2018	07/01/2022
CH08499G	PRICE RITE DRUG	910 N 7TH AVE		BOZEMAN	MT	59715-2500	01/01/2024	10/01/2024
CH08499J	SILVERTIP PHARMACY	PIC: CLIFFORD JOSH MORRIS	120 N CANYON ST STE F P.O. BOX 30	WEST YELLOWSTONE	MT	59758-9500	10/01/2020	07/01/2022
CH08499A	SILVERTIP PHARMACY	PIC: CLIFFORD JOSH MORRIS	120 N CANYON ST STE F P.O. BOX 30	WEST YELLOWSTONE	MT	59758-9500	10/01/2020	01/02/2023
CH084990	SILVERTIP PHARMACY	PIC: CLIFFORD JOSH MORRIS	120 N CANYON ST STE F P.O. BOX 30	WEST YELLOWSTONE	MT	59758-9500	10/01/2020	10/18/2023
CH08499G	SILVERTIP PHARMACY	PIC: CLIFFORD JOSH MORRIS	120 N CANYON ST STE F P.O. BOX 30	WEST YELLOWSTONE	MT	59758-9500	10/01/2020	01/02/2023
CH08499H	SILVERTIP PHARMACY	PIC: CLIFFORD JOSH MORRIS	120 N CANYON ST STE F P.O. BOX 30	WEST YELLOWSTONE	MT	59758-9500	10/01/2020	04/01/2023
CH084990	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2020	10/26/2023
CH08499G	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2020	01/02/2023
CH08499H	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2020	04/01/2023
CH08499A	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2020	01/02/2023
CH08499J	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2020	07/01/2022
CH084990	WAL-MART PHARMACY 10-2084	1500 NORTH 7TH AVE		BOZEMAN	MT	59771	10/01/2020	10/26/2023
CH08499J	WAL-MART PHARMACY 10-2084	1500 NORTH 7TH AVE		BOZEMAN	MT	59771	10/01/2020	07/01/2022
CH08499G	WAL-MART PHARMACY 10-2084	1500 NORTH 7TH AVE		BOZEMAN	MT	59771	10/01/2020	01/02/2023
CH08499A	WAL-MART PHARMACY 10-2084	1500 NORTH 7TH AVE		BOZEMAN	MT	59771	10/01/2020	01/02/2023
CH08499H	WAL-MART PHARMACY 10-2084	1500 NORTH 7TH AVE		BOZEMAN	MT	59771	10/01/2020	04/01/2023
CH084990	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2020	10/26/2023
CH08499H	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2020	04/01/2023
CH08499G	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2020	01/02/2023
CH08499A	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2020	01/02/2023
CH08499J	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2020	07/01/2022

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		9/30/2024 12:00:00 AM	9/25/2024 2:31 PM
Details	State	Update	Termination Request	Active	To Be Terminated	9/25/2024 2:31 PM
Terminations	Termination Comments	Update	Termination Request		Merged with Bighorn Valley Health Center, Inc - CHC24102-16	9/25/2024 2:31 PM
Terminations	Termination Date	Update	Termination Request		10/1/2024 12:00:00 AM	9/25/2024 2:31 PM
Terminations	Termination Effective Date	Update	Termination Request		10/1/2024 12:00:00 AM	9/25/2024 2:31 PM
Terminations	Termination Reason	Update	Termination Request		Other	9/25/2024 2:31 PM
Contacts	Authorizing Official	Update	Group Change Request	WILSON, JESSICA CFO Community Health Partners, Inc 4068236301	Cooney, Lander CEO Community Health Partners, Inc. 4068236316	9/25/2024 6:44 AM
Details	Last Recertification Date	Update	Recertification	1/30/2023 10:58:31 AM	1/31/2024 10:04:18 AM	1/31/2024 10:04 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1487741005 (MT)		2/21/2023 6:16 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1487741005 (MT)		2/21/2023 6:16 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1376787770 (MT)		2/21/2023 6:16 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1447494000 (MT)		2/21/2023 6:16 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1699085720 (MT)		2/21/2023 6:16 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1366049967 (MT)		2/21/2023 6:16 PM
Details	Last Recertification Date	Update	Recertification	2/8/2022 6:56:30 PM	1/30/2023 10:58:31 AM	1/30/2023 10:58 AM
Contacts	Authorizing Official	Update	Group Change Request	Hale, Rebecca CFO Community Health Partners, Inc. 4068236301	WILSON, JESSICA CFO Community Health Partners, Inc 4068236301	3/17/2022 2:16 PM
Details	Last Recertification Date	Update	Recertification	2/3/2021 10:00:50 AM	2/8/2022 6:56:30 PM	2/8/2022 6:56 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1366049967	2/3/2021 10:00 AM
Medicaid Billing	NPI: State	Insert	Recertification		MT	2/3/2021 10:00 AM
Details	Last Recertification Date	Update	Recertification		2/3/2021 10:00:50 AM	2/3/2021 10:00 AM
Details	State	Update	OPA Edit	Approved	Active	9/17/2020 2:54 PM
Dates	Start Date	Update	OPA Edit	10/1/2020 12:00:00 AM	9/17/2020 12:00:00 AM	9/17/2020 2:54 PM
Contacts	Signed By	Insert	New Registration		Hale, Rebecca CFO Community Health Partners, Inc. 4068236301	9/17/2020 1:57 PM
Details	340B ID	Update	New Registration		CH08499K	9/17/2020 1:57 PM
Dates	Participating Approval Date	Update	New Registration		9/17/2020 1:57:07 PM	9/17/2020 1:57 PM
Details	State	Update	New Registration	Pending	Approved	9/17/2020 1:57 PM
Dates	Signed By Date	Update	New Registration		9/17/2020 11:10:31 AM	9/17/2020 1:57 PM
Dates	Start Date	Update	New Registration		10/1/2020 12:00:00 AM	9/17/2020 1:57 PM
Addresses	Main Address	Insert	New Registration		410 Triple Crown St Rm A108 Belgrade, MT 59714-3402	9/17/2020 10:52 AM
Addresses	Billing Address	Insert	New Registration		Community Health Partners, Inc. 112 W Lewis Street Livingston, MT 59047	9/17/2020 10:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	9/17/2020 10:52 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1487741005	9/17/2020 10:52 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		MT	9/17/2020 10:52 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1487741005	9/17/2020 10:52 AM
Medicaid Billing	NPI: State	Insert	New Registration		MT	9/17/2020 10:52 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1376787770	9/17/2020 10:52 AM
Medicaid Billing	NPI: State	Insert	New Registration		MT	9/17/2020 10:52 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1447494000	9/17/2020 10:52 AM
Medicaid Billing	NPI: State	Insert	New Registration		MT	9/17/2020 10:52 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1699085720	9/17/2020 10:52 AM
Medicaid Billing	NPI: State	Insert	New Registration		MT	9/17/2020 10:52 AM
Contacts	Authorizing Official	Insert	New Registration		Hale, Rebecca CFO Community Health Partners, Inc. 4068236301	9/17/2020 10:52 AM
Contacts	Primary Contact	Insert	New Registration		Patrick, Shawn Director of Pharmacy Community Health Partners, Inc. 4069220843	9/17/2020 10:52 AM
Details	Assistance Received From Date	Insert	New Registration			9/17/2020 10:52 AM
Details	Assistance Received To Date	Insert	New Registration			9/17/2020 10:52 AM
Details	Last Recertification Date	Insert	New Registration			9/17/2020 10:52 AM
Details	Grant Number	Insert	New Registration		H80CS00736	9/17/2020 10:52 AM
Details	340B ID	Insert	New Registration			9/17/2020 10:52 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			9/17/2020 10:52 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			9/17/2020 10:52 AM
Details	Medicare Provider Number	Insert	New Registration			9/17/2020 10:52 AM
Details	Entity Name	Insert	New Registration		Community Health Partners, Inc.	9/17/2020 10:52 AM
Details	NOFO Number	Insert	New Registration			9/17/2020 10:52 AM
Details	Program Code	Insert	New Registration		CH	9/17/2020 10:52 AM
Details	Entity Subname	Insert	New Registration		CHP-Panther Clinic	9/17/2020 10:52 AM
Dates	Participating Approval Date	Insert	New Registration			9/17/2020 10:52 AM
Details	State	Insert	New Registration		Pending	9/17/2020 10:52 AM
Dates	Registration Date	Insert	New Registration		9/17/2020 10:52:47 AM	9/17/2020 10:52 AM
Dates	Signed By Date	Insert	New Registration			9/17/2020 10:52 AM
Dates	Start Date	Insert	New Registration			9/17/2020 10:52 AM
Terminations	Termination Comments	Insert	New Registration			9/17/2020 10:52 AM
Terminations	Termination Date	Insert	New Registration			9/17/2020 10:52 AM
Terminations	Termination Effective Date	Insert	New Registration			9/17/2020 10:52 AM
Terminations	Termination Reason	Insert	New Registration			9/17/2020 10:52 AM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

Grantee Sites

Grantee Sites Contract Pharmacies

History