Covered Entity Details

CH05748D RIGGS COMMUNITY HEALTH CENTER, INC. (Active) - information as of 6/26/2025 3:10:19 AM

Main Details

Name

RIGGS COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Riggs Community Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-034255

340B ID

CH05748D

Grant Number

H80CS00565

Additional Details

Current Program Status

Active

Registration Date

7/13/2022

Participating Start Date

10/1/2022

Participating Approval Date

7/14/2022

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

Riggs Community Clinic
Kimberly Dowell, CFO
(765) 429-2770

Primary Contact

Riggs Community Health Center, Inc
Jennifer Eades, Accountant
(765) 742-1567 Ext: 2413

Addresses

Street Address

2121 S Gopher Dr BLDG
Frankfort, IN 46041-6800

Billing Address
Same as Street Address

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
IN	300062714	1386660900

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
CH057480	Active	BPS-H80-000652	RIGGS COMMUNITY HEALTH CENTER, INC.	RIGGS COMMUNITY HEALTH CENTER	1716 Hartford St	Lafayette	IN
CH05748A	Active	BPS-H80-008482	RIGGS COMMUNITY HEALTH CENTER, INC.	Riggs Community Health Center Annex	1324 Tippecanoe St	Lafayette	IN
CH05748B	Active	BPS-H80-012141	RIGGS COMMUNITY HEALTH CENTER, INC.	Riggs Community Health Center South Street	2316 South St	Lafayette	IN
CH05748C	Active	BPS-H80-017610	RIGGS COMMUNITY HEALTH CENTER, INC.	Boone County Community Clinic	416 W Camp St	Lebanon	IN
CH05748D	Active	BPS-H80-034255	RIGGS COMMUNITY HEALTH CENTER, INC.	Riggs Community Health Center	2121 S Gopher Dr BLDG	Frankfort	IN

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH057480	COWAN DRUGS	112 N LEBANON ST		LEBANON	IN	46052-2151	11/07/2022
CH057480	GENOA HEALTHCARE LLC	415 N 26TH STREET		LAFAYETTE	IN	47904	07/01/2025
CH057480	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06666	207 S. LEBANON ST.	LEBANON	IN	46052	10/01/2021
CH057480	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06677	3630 S. 18TH ST.	LAFAYETTE	IN	47909	10/01/2021
CH057480	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 08651	512 SAGAMORE PKWY WEST	WEST LAFAYETTE	IN	47906	10/01/2021
CH057480	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 08652	50 SAGAMORE PKWY S	LAFAYETTE	IN	47905	10/01/2021	07/05/2023
CH057480	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 08657	1725 SALEM STREET	LAFAYETTE	IN	47904	10/01/2021
CH057480	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 08680	2806 OLD US HIGHWAY 231 S	LAFAYETTE	IN	47909	10/01/2021
CH057480	HOOK-SUPERX, L.L.C.	CVS PHARMACY # 16888	3630 SOUTH STREET	LAFAYETTE	IN	47905	10/01/2021
CH057480	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06667	201 SOUTH JACKSON STREET	FRANKFORT	IN	46041	07/01/2022
CH057480	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06674	505 WEST MAIN STREET	DELPHI	IN	46923	01/01/2024
CH057480	PARKSIDE PHARMACY	1639 N LEBANON ST		LEBANON	IN	46052	11/07/2022
CH057480	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2023
CH057480	WAL-MART PHARMACY 10-0854	2460 EAST WABASH		FRANKFORT	IN	46041	11/07/2022
CH057480	WAL-MART PHARMACY 10-1275	2440 N LEBANON		LEBANON	IN	46052	11/07/2022
CH057480	WAL-MART PHARMACY 10-1547	4205 COMMERCE DRIVE		LAFAYETTE	IN	47905	11/07/2022
CH057480	WAL-MART PHARMACY 10-2339	2801 NORTHWESTERN AVE		WEST LAFAYETTE	IN	47906	11/07/2022
CH057480	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2023
CH057480	WAL-MART STORES EAST, LP	DBA WAL-MART PHARMACY #10-3851	2347 VETERANS MEMORIAL PKWY S	LAFAYETTE	IN	47909	11/07/2022
CH057480	WALGREEN CO	DBA: WALGREENS #10858	130 S CREASY LANE	LAFAYETTE	IN	47905	04/01/2017
CH057480	WALGREEN CO	DBA: WALGREENS #10974	2800 OLD US HWY 231 S	LAFAYETTE	IN	47909	04/01/2017
CH057480	WALGREEN CO.	DBA: WALGREENS # 04371	1801 SOUTH ST.	LAFAYETTE	IN	47904	04/01/2017
CH057480	WALGREEN CO.	DBA: WALGREENS # 06456	1000 SAGAMORE PKWY W	WEST LAFAYETTE	IN	47906	04/01/2017
CH05748C	WALGREEN CO.	DBA: WALGREENS # 01444	1130 N LEBANON ST	LEBANON	IN	46052-1759	07/01/2019	05/19/2022
CH057480	WALGREEN CO.	DBA: WALGREENS # 01444	1130 N LEBANON ST	LEBANON	IN	46052-1759	01/01/2020
CH057480	Walgreens Central Fill #21399	4132Plainfield Rd	Ste 110	Indianapolis	IN	46231-7021	04/01/2023
CH057480	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/01/2023
CH057480	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Change Request	Eades, Jennifer Accountant Riggs Community Health Center, Inc 7657421567	Eades, Jennifer Accountant Riggs Community Health Center, Inc 7657421567-2413	4/1/2025 1:42 PM
Details	Last Recertification Date	Update	Recertification	1/30/2024 7:10:33 AM	2/11/2025 4:13:38 PM	2/11/2025 4:13 PM
Contacts	Primary Contact	Update	Recertification	Leon, Melissa D Finance Assistant Riggs CHC 7657421567-2416	Eades, Jennifer Accountant Riggs Community Health Center, Inc 7657421567	1/30/2024 7:10 AM
Details	Last Recertification Date	Update	Recertification	2/1/2023 2:47:26 PM	1/30/2024 7:10:33 AM	1/30/2024 7:10 AM
Details	Last Recertification Date	Update	Recertification		2/1/2023 2:47:26 PM	2/1/2023 2:47 PM
Contacts	Primary Contact	Update	PC Change Request	Santos, Fe Sr Staff Accountant Riggs Community Health Center, Inc. 7654292740	Leon, Melissa D Finance Assistant Riggs CHC 7657421567-2416	1/12/2023 11:55 AM
Details	State	Update		Approved	Active	10/1/2022 12:01 AM
Contacts	Signed By	Insert	New Registration		Dowell, Kimberly CFO Riggs Community Clinic 7654292770	7/14/2022 8:17 AM
Details	340B ID	Update	New Registration		CH05748D	7/14/2022 8:17 AM
Dates	Participating Approval Date	Update	New Registration		7/14/2022 8:17:26 AM	7/14/2022 8:17 AM
Details	State	Update	New Registration	Pending	Approved	7/14/2022 8:17 AM
Dates	Signed By Date	Update	New Registration		7/13/2022 12:16:48 PM	7/14/2022 8:17 AM
Dates	Start Date	Update	New Registration		10/1/2022 12:00:00 AM	7/14/2022 8:17 AM
Addresses	Main Address	Insert	New Registration		2121 S Gopher Dr BLDG Frankfort, IN 46041-6800	7/13/2022 12:16 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/13/2022 12:16 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		300062714	7/13/2022 12:16 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		IN	7/13/2022 12:16 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1386660900	7/13/2022 12:16 PM
Medicaid Billing	NPI: State	Insert	New Registration		IN	7/13/2022 12:16 PM
Contacts	Authorizing Official	Insert	New Registration		Dowell, Kimberly CFO Riggs Community Clinic 7654292770	7/13/2022 12:16 PM
Contacts	Primary Contact	Insert	New Registration		Santos, Fe Sr Staff Accountant Riggs Community Health Center, Inc. 7654292740	7/13/2022 12:16 PM
Details	Assistance Received From Date	Insert	New Registration			7/13/2022 12:16 PM
Details	Assistance Received To Date	Insert	New Registration			7/13/2022 12:16 PM
Details	Last Recertification Date	Insert	New Registration			7/13/2022 12:16 PM
Details	Grant Number	Insert	New Registration		H80CS00565	7/13/2022 12:16 PM
Details	340B ID	Insert	New Registration			7/13/2022 12:16 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/13/2022 12:16 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/13/2022 12:16 PM
Details	Medicare Provider Number	Insert	New Registration			7/13/2022 12:16 PM
Details	Entity Name	Insert	New Registration		RIGGS COMMUNITY HEALTH CENTER, INC.	7/13/2022 12:16 PM
Details	NOFO Number	Insert	New Registration			7/13/2022 12:16 PM
Details	Program Code	Insert	New Registration		CH	7/13/2022 12:16 PM
Details	Entity Subname	Insert	New Registration		Riggs Community Health Center	7/13/2022 12:16 PM
Dates	Participating Approval Date	Insert	New Registration			7/13/2022 12:16 PM
Details	State	Insert	New Registration		Pending	7/13/2022 12:16 PM
Dates	Registration Date	Insert	New Registration		7/13/2022 12:16:45 PM	7/13/2022 12:16 PM
Dates	Signed By Date	Insert	New Registration			7/13/2022 12:16 PM
Dates	Start Date	Insert	New Registration			7/13/2022 12:16 PM
Terminations	Termination Comments	Insert	New Registration			7/13/2022 12:16 PM
Terminations	Termination Date	Insert	New Registration			7/13/2022 12:16 PM
Terminations	Termination Effective Date	Insert	New Registration			7/13/2022 12:16 PM
Terminations	Termination Reason	Insert	New Registration			7/13/2022 12:16 PM

340B Drug Pricing Program Database