No
Contract Detail | TRUCARE PHARMACY | 2000 CRAWFORD ST STE 105 |
ST JOSEPH PROF BLDG
| HOUSTON | TX | 77002-9000 | 09/01/2021 | 09/02/2021 | | 05/17/2024 | 05/21/2024 |
Contract Detail | WHITE HEART PHARMACY INC | 9720 JONES RD STE 280 |
| HOUSTON | TX | 77065-4772 | 07/03/2024 | 09/11/2024 | | | 09/11/2024 |
Details | Last Recertification Date | Update | Recertification | 2/7/2024 12:43:47 PM | 2/13/2025 1:03:24 PM | 2/13/2025 1:03 PM |
Contacts | Primary Contact | Update | Recertification | McEvoy, Mary Ellen
Director of Clinical Operations
Healthcare for the Homeless Houston
7132866077 | Durant, Candice
Dir. of Clinical Operations
Healthcare for the Homeless - Houston
7132866077 | 2/7/2024 12:43 PM |
Details | Last Recertification Date | Update | Recertification | 1/31/2023 10:07:08 AM | 2/7/2024 12:43:47 PM | 2/7/2024 12:43 PM |
Details | Last Recertification Date | Update | Recertification | 1/31/2022 2:44:20 PM | 1/31/2023 10:07:08 AM | 1/31/2023 10:07 AM |
Contacts | Authorizing Official | Update | AO Change Request | ISBELL, FRANCES
CEO
Healthcare for the Homeless - Houston
7132866125 | Brown, Carlie A
CEO
Healthcare for the Homeless - Houston
7132866122 | 1/23/2023 1:29 PM |
Details | Last Recertification Date | Update | Recertification | | 1/31/2022 2:44:20 PM | 1/31/2022 2:44 PM |
Details | State | Update | OPA Edit | Approved | Active | 7/27/2021 7:55 PM |
Dates | Start Date | Update | OPA Edit | 10/1/2021 12:00:00 AM | 7/27/2021 12:00:00 AM | 7/27/2021 7:55 PM |
Contacts | Signed By | Insert | New Registration | | ISBELL, FRANCES
CEO
Healthcare for the Homeless - Houston
7132866125 | 7/1/2021 3:34 PM |
Details | 340B ID | Update | New Registration | | CH061221A | 7/1/2021 3:34 PM |
Dates | Participating Approval Date | Update | New Registration | | 7/1/2021 3:34:47 PM | 7/1/2021 3:34 PM |
Details | State | Update | New Registration | Pending | Approved | 7/1/2021 3:34 PM |
Dates | Signed By Date | Update | New Registration | | 7/1/2021 10:54:14 AM | 7/1/2021 3:34 PM |
Dates | Start Date | Update | New Registration | | 10/1/2021 12:00:00 AM | 7/1/2021 3:34 PM |
Addresses | Main Address | Insert | New Registration | |
1212 Prairie Street
HOUSTON, TX 77002 | 7/1/2021 9:58 AM |
Addresses | Billing Address | Insert | New Registration | | Healthcare for the Homeless Houston
1934 Caroline St
Houston, TX 77002 | 7/1/2021 9:58 AM |
Contacts | Authorizing Official | Insert | New Registration | | ISBELL, FRANCES
CEO
Healthcare for the Homeless - Houston
7132866125 | 7/1/2021 9:58 AM |
Contacts | Primary Contact | Insert | New Registration | | McEvoy, Mary Ellen
Director of Clinical Operations
Healthcare for the Homeless Houston
7132866077 | 7/1/2021 9:58 AM |
Details | Assistance Received From Date | Insert | New Registration | | | 7/1/2021 9:58 AM |
Details | Assistance Received To Date | Insert | New Registration | | | 7/1/2021 9:58 AM |
Details | Last Recertification Date | Insert | New Registration | | | 7/1/2021 9:58 AM |
Details | Grant Number | Insert | New Registration | | H80CS00300 | 7/1/2021 9:58 AM |
Details | 340B ID | Insert | New Registration | | | 7/1/2021 9:58 AM |
Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 7/1/2021 9:58 AM |
Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 7/1/2021 9:58 AM |
Details | Medicare Provider Number | Insert | New Registration | | | 7/1/2021 9:58 AM |
Details | Entity Name | Insert | New Registration | | HEALTH CARE FOR THE HOMELESS-HOUSTON | 7/1/2021 9:58 AM |
Details | NOFO Number | Insert | New Registration | | | 7/1/2021 9:58 AM |
Details | Program Code | Insert | New Registration | | CH | 7/1/2021 9:58 AM |
Details | Entity Subname | Insert | New Registration | | CATHEDRAL CLINIC | 7/1/2021 9:58 AM |
Dates | Participating Approval Date | Insert | New Registration | | | 7/1/2021 9:58 AM |
Details | State | Insert | New Registration | | Pending | 7/1/2021 9:58 AM |
Dates | Registration Date | Insert | New Registration | | 7/1/2021 9:58:23 AM | 7/1/2021 9:58 AM |
Dates | Signed By Date | Insert | New Registration | | | 7/1/2021 9:58 AM |
Dates | Start Date | Insert | New Registration | | | 7/1/2021 9:58 AM |
Terminations | Termination Comments | Insert | New Registration | | | 7/1/2021 9:58 AM |
Terminations | Termination Date | Insert | New Registration | | | 7/1/2021 9:58 AM |
Terminations | Termination Effective Date | Insert | New Registration | | | 7/1/2021 9:58 AM |
Terminations | Termination Reason | Insert | New Registration | | | 7/1/2021 9:58 AM |