Covered Entity Details

CH062774M MOREHOUSE COMMUNITY MEDICAL CENTERS, INC. (Terminated) - information as of 4/25/2025 12:00:30 AM

Main Details

Name

MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.

Subdivision Name

CommuniHealth Services - Bastrop Dental Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-032006

340B ID

CH062774M

Grant Number

H80CS08764

Additional Details

Current Program Status

Terminated

Registration Date

4/15/2021

Participating Start Date

7/1/2021

Participating Approval Date

4/15/2021

Last Recertification Date

2/7/2022

Termination Date
Termination Reason

1/1/2023
Other

Contacts

Authorizing Official

Morehouse Community Medical Centers, Inc.
Katie Parnell, CEO
(318) 239-8026

Primary Contact

Morehouse Community Medical Centers, Inc (CommuniHealth Services)
Karen N Williams, Director of Compliance & Risk Management
(318) 239-8044

Addresses

Street Address

945 E Madison Ave
Bastrop, LA 71220-4701

Billing Address

Morehouse Community Medical Centers, Inc. dba CommuniHealth Services - Bastrop Dental Clinic
PO Box 792
Bastrop, LA 71221

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?
Yes

State	Medicaid Number	NPI Number
LA	2550098	1083207278

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
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH0627740	Active	BPS-H80-031591	Morehouse Community Medical Centers, Inc.	CommuniHealth Services - Bastrop Community Health Center	314 N Franklin Street	Bastrop	LA
CH062774A	Active	BPS-H80-008647	Morehouse Community Medical Centers, Inc.	CommuniHealth Services Morehouse Elementary School-Based Health Center	1001 W Madison Ave	Bastrop	LA
CH062774B	Active	BPS-H80-009312	Morehouse Community Health Centers, Inc.	CommuniHealth Services Mer Rouge Family Practice & Behavioral Health Center	108 North 16th Street	Mer Rouge	LA
CH062774C	Active	BPS-H80-027293	Morehouse Community Medical Centers, Inc.	CommuniHealth Services Marion Family Practice, Dental & Behavioral Health Center	335 Main Street	Marion	LA
CH062774D	Active	BPS-H80-013810	Morehouse Community Medical Centers, Inc.	CommuniHealth Services Bastrop High School-Based Health Center	402 HIGHLAND AVE	BASTROP	LA
CH062774E	Terminated	BPS-H80-010501	Morehouse Community Medical Centers, Inc.	CommuniHealth Services Dental Center	625 S Washington St	Bastrop	LA
CH062774F	Active	BPS-H80-015185	Morehouse Community Medical Centers, Inc.	CommuniHealth Services West Monroe High School-Based Health Center	201 Riggs Street	West Monroe	LA
CH062774G	Active	BPS-H80-015186	Morehouse Community Medical Centers, Inc.	CommuniHealth Services Riser Middle School-Based Health Center	100 Price Drive	West Monroe	LA
CH062774H	Active	BPS-H80-038702	MOREHOUSE COMMUNITY MEDICAL CENTERS INC	CommuniHealth Services - Behavioral Health Wellness Clinic	501 Durham St	Bastrop	LA
CH062774J	Active	BPS-H80-038154	Morehouse Community Medical Centers, Inc	CommuniHealth Services - Mobile Unit #1 (BCHC)	314 N Franklin St	Bastrop	LA
CH062774K	Active	BPS-H80-024714	MOREHOUSE COMMUNITY MEDICAL CENTERS INC	CommuniHealth Services - Monroe Community Health Center	1825 North 18th Street	Monroe	LA
CH062774L	Active	BPS-H80-027606	MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.	CommuniHealth Services Union Parish High School-Based Health Center	1126 Marion Highway	Farmerville	LA
CH062774M	Terminated	BPS-H80-032006	MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.	CommuniHealth Services - Bastrop Dental Clinic	945 E Madison Ave	Bastrop	LA
CH062774N	Active	BPS-H80-038153	MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.	CommuniHealth Services - Mobile Unit #2 (BCHC)	314 North Franklin Street	Bastrop	LA
CH062774P	Active	BPS-H80-033085	MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.	CommuniHealth Services - Downsville Clinic	4787 Highway 151	Downsville	LA
CH062774Q	Active	BPS-H80-034099	MOREHOUSE COMMUNITY MEDICAL CENTERS INC	CommuniHealth Services - West Monroe Community Health Center	420 Wheelis St	West Monroe	LA
CH062774R	Active	BPS-H80-037327	MOREHOUSE COMMUNITY MEDICAL CENTERS INC	CommuniHealth Services - Ouachita Parish High School SBHC	681 Highway 594	Monroe	LA
CH062774S	Active	BPS-H80-039414	MOREHOUSE COMMUNITY MEDICAL CENTERS INC	CommuniHealth Services - Miller Roy Clinic	1001 Desiard Street STE 2	Monroe	LA
CH062774T	Active	BPS-H80-039859	MOREHOUSE COMMUNITY MEDICAL CENTERS INC	CommuniHealth - Mental Health and Substance Use Disorder Clinic	1205 Royal Ave.	Monroe	LA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH0627740	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	08/02/2022
CH0627740	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	08/02/2022
CH0627740	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	08/02/2022
CH0627740	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	08/02/2022
CH0627740	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	08/02/2022
CH0627740	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	08/02/2022
CH0627740	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	08/02/2022	05/30/2023
CH0627740	BIOPLUS SPECIALTY PHARMACY LA, LLC	2731 MANHATTAN BLVD STE B17		HARVEY	LA	70058	04/01/2025
CH0627740	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	10/01/2016
CH062774J	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	10/01/2017	01/17/2023
CH0627740	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	145 S 79TH ST STE 70	CHANDLER	AZ	85226	04/01/2025
CH0627740	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4740 VICTORY LN STE C	INDIANAPOLIS	IN	46203	04/01/2025
CH0627740	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	04/01/2025
CH0627740	BROOKSHIRE PHARMACY #38	1018 STERLINGTON HWY		FARMERVILLE	LA	71241	10/01/2022	01/03/2023
CH0627740	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	07/01/2016
CH062774J	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	10/01/2017	01/17/2023
CH0627740	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	07/01/2016
CH062774J	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	10/01/2017	01/17/2023
CH0627740	EXACT CARE PHARMACY	DDCRX, LLC	2701 HIGHPOINT OAKS DR STE 100	LEWISVILLE	TX	75067-3896	01/18/2021	02/02/2023
CH0627740	EXACT CARE PHARMACY, LLC	8333 ROCKSIDE RD		CLEVELAND	OH	44125	01/18/2021	02/02/2023
CH0627740	GENOA HEALTHCARE LLC	4800 S GRAND ST STE P		MONROE	LA	71202	07/01/2023
CH0627740	MATTES PHARMACY INC	314 MAIN ST	P.O. BOX 17	MARION	LA	71260-5252	10/01/2015
CH062774C	MATTES PHARMACY INC	314 MAIN ST	P.O. BOX 17	MARION	LA	71260-5252	10/01/2014	01/17/2023
CH062774H	MATTES PHARMACY INC	314 MAIN ST	P.O. BOX 17	MARION	LA	71260-5252	04/01/2017	01/01/2023
CH062774J	MATTES PHARMACY INC	314 MAIN ST	P.O. BOX 17	MARION	LA	71260-5252	10/01/2017	01/17/2023
CH0627740	MER ROUGE FAMILY PHARMACY, LLC	DBA PERKINS FAMILY PHARMACY	316 DAVENPORT AVE	MER ROUGE	LA	71261	04/01/2020	06/30/2023
CH0627740	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	01/01/2023
CH0627740	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	01/01/2023
CH0627740	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	01/01/2023
CH0627740	OPTUM PHARMACY 705, LLC	1893 GENERAL GEORGE PATTON DR	STE 106	FRANKLIN	TN	37067-2655	01/01/2023
CH0627740	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	01/01/2023
CH0627740	PEARCE PHARMACY	604 S WASHINGTON ST		BASTROP	LA	71220-5035	09/29/2008	09/30/2024
CH062774A	PEARCE PHARMACY	604 S WASHINGTON ST		BASTROP	LA	71220-5035	03/16/2010	01/17/2023
CH062774B	PEARCE PHARMACY	604 S WASHINGTON ST		BASTROP	LA	71220-5035	04/01/2010	01/17/2023
CH062774G	PEARCE PHARMACY	604 S WASHINGTON ST		BASTROP	LA	71220-5035	10/01/2015	01/17/2023
CH062774F	PEARCE PHARMACY	604 S WASHINGTON ST		BASTROP	LA	71220-5035	10/01/2015	01/17/2023
CH062774H	PEARCE PHARMACY	604 S WASHINGTON ST		BASTROP	LA	71220-5035	04/01/2017	01/01/2023
CH062774J	PEARCE PHARMACY	604 S WASHINGTON ST		BASTROP	LA	71220-5035	10/01/2017	01/17/2023
CH0627740	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2017
CH062774J	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	10/01/2017	01/17/2023
CH0627740	SUPER ONE PHARMACY #603	2211 E. MADISON AVE.		BASTROP	LA	71220	10/01/2022	01/03/2023
CH0627740	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/01/2022
CH0627740	WAL-MART PHARMACY 10-0098	6091 MER ROUGE RD., HWY 165		BASTROP	LA	71220	07/01/2022
CH0627740	WAL-MART PHARMACY 10-0149	184 OLD WINFIELD RD.		JONESBORO	LA	71251	07/01/2023	04/01/2024
CH0627740	WAL-MART PHARMACY 10-0307	1025 GLENWOOD DRIVE		WEST MONROE	LA	71291	07/01/2023	05/24/2024
CH0627740	WAL-MART PHARMACY 10-1110	833 STERLINGTON HWY		FARMERVILLE	LA	71241	07/01/2023
CH0627740	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/01/2022
CH0627740	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 10536	1930 E MADISON AVE	BASTROP	LA	71220-4034	10/01/2022
CH0627740	WALGREEN LOUISIANA CO., INC.	WALGREENS #21533	2211 E MADISON AVE	BASTROP	LA	71220	01/01/2025
CH0627740	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	10/01/2022
CH0627740	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH0627740	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Parnell, Katie CEO Morehouse Community Medical Centers, Inc. 3182838887-107	Parnell, Katie CEO Morehouse Community Medical Centers, Inc. 3182398026	2/11/2025 10:49 AM
Contacts	Signed By	Update	Profile Change Request	Parnell, Katie CEO Morehouse Community Medical Centers, Inc. 3182838887-107	Parnell, Katie CEO Morehouse Community Medical Centers, Inc. 3182398026	2/11/2025 10:49 AM
Details	State	Update		To Be Terminated	Terminated	1/1/2023 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		3/31/2022 12:00:00 AM	12/19/2022 4:56 PM
Details	State	Update	Termination Request	Active	To Be Terminated	12/19/2022 4:56 PM
Terminations	Termination Comments	Update	Termination Request		This site has consolidated into our new building (314 North Franklin Bastrop) and become a part of our CommuniHealth Services - Bastrop Community Health Center.	12/19/2022 4:56 PM
Terminations	Termination Date	Update	Termination Request		1/1/2023 12:00:00 AM	12/19/2022 4:56 PM
Terminations	Termination Effective Date	Update	Termination Request		12/19/2022 12:00:00 AM	12/19/2022 4:56 PM
Terminations	Termination Reason	Update	Termination Request		Other	12/19/2022 4:56 PM
Details	Last Recertification Date	Update	Recertification		2/7/2022 9:35:45 AM	2/7/2022 9:35 AM
Details	State	Update		Approved	Active	7/1/2021 12:01 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	5/24/2021 1:09 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		2550098	5/24/2021 1:09 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		LA	5/24/2021 1:09 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1083207278	5/24/2021 1:09 PM
Medicaid Billing	NPI: State	Insert	Change Request		LA	5/24/2021 1:09 PM
Contacts	Signed By	Insert	New Registration		Parnell, Katie CEO Morehouse Community Medical Centers, Inc. 3182838887-107	4/15/2021 2:18 PM
Details	340B ID	Update	New Registration		CH062774M	4/15/2021 2:18 PM
Dates	Participating Approval Date	Update	New Registration		4/15/2021 2:18:34 PM	4/15/2021 2:18 PM
Details	State	Update	New Registration	Pending	Approved	4/15/2021 2:18 PM
Dates	Signed By Date	Update	New Registration		4/15/2021 1:03:53 PM	4/15/2021 2:18 PM
Dates	Start Date	Update	New Registration		7/1/2021 12:00:00 AM	4/15/2021 2:18 PM
Addresses	Main Address	Insert	New Registration		945 E Madison Ave Bastrop, LA 71220-4701	4/15/2021 12:37 PM
Addresses	Billing Address	Insert	New Registration		Morehouse Community Medical Centers, Inc. dba CommuniHealth Services - Bastrop Dental Clinic PO Box 792 Bastrop, LA 71221	4/15/2021 12:37 PM
Contacts	Authorizing Official	Insert	New Registration		Parnell, Katie CEO Morehouse Community Medical Centers, Inc. 3182838887-107	4/15/2021 12:37 PM
Contacts	Primary Contact	Insert	New Registration		Williams, Karen N Director of Compliance & Risk Management Morehouse Community Medical Centers, Inc (CommuniHealth Services) 3182398044	4/15/2021 12:37 PM
Details	Assistance Received From Date	Insert	New Registration			4/15/2021 12:37 PM
Details	Assistance Received To Date	Insert	New Registration			4/15/2021 12:37 PM
Details	Last Recertification Date	Insert	New Registration			4/15/2021 12:37 PM
Details	Grant Number	Insert	New Registration		H80CS08764	4/15/2021 12:37 PM
Details	340B ID	Insert	New Registration			4/15/2021 12:37 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/15/2021 12:37 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/15/2021 12:37 PM
Details	Medicare Provider Number	Insert	New Registration			4/15/2021 12:37 PM
Details	Entity Name	Insert	New Registration		MOREHOUSE COMMUNITY MEDICAL CENTERS, INC.	4/15/2021 12:37 PM
Details	NOFO Number	Insert	New Registration			4/15/2021 12:37 PM
Details	Program Code	Insert	New Registration		CH	4/15/2021 12:37 PM
Details	Entity Subname	Insert	New Registration		CommuniHealth Services - Bastrop Dental Clinic	4/15/2021 12:37 PM
Dates	Participating Approval Date	Insert	New Registration			4/15/2021 12:37 PM
Details	State	Insert	New Registration		Pending	4/15/2021 12:37 PM
Dates	Registration Date	Insert	New Registration		4/15/2021 12:37:34 PM	4/15/2021 12:37 PM
Dates	Signed By Date	Insert	New Registration			4/15/2021 12:37 PM
Dates	Start Date	Insert	New Registration			4/15/2021 12:37 PM
Terminations	Termination Comments	Insert	New Registration			4/15/2021 12:37 PM
Terminations	Termination Date	Insert	New Registration			4/15/2021 12:37 PM
Terminations	Termination Effective Date	Insert	New Registration			4/15/2021 12:37 PM
Terminations	Termination Reason	Insert	New Registration			4/15/2021 12:37 PM

340B Drug Pricing Program Database