Covered Entity Details

CHC24158-04 NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY (Active) - information as of 5/30/2025 6:44:30 PM

Main Details

Name

NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY

Subdivision Name

Neighborhood Health Centers of the Lehigh Valley- Hamilton Street

Type

HRSA-Funded Health Center

Site ID

BPS-H80-035775

340B ID

CHC24158-04

Grant Number

H80CS24158

Additional Details

Current Program Status

Active

Registration Date

1/15/2023

Participating Start Date

4/1/2023

Participating Approval Date

1/19/2023

Last Recertification Date

2/18/2025

Contacts

Authorizing Official

Neighborhood Health Centers of the Lehigh Valley
Melissa Miranda Craig, Executive Director and CEO
(610) 841-8400 Ext: 2302

Primary Contact

Neighborhood Health Centers of the Lehigh Vlley
Paula Haddad, Fiscal Quality & Compliance Specialist
(610) 841-8400

Addresses

Street Address

160 Hamilton St
Allentown, PA 18101-1948

Billing Address

Neighborhood Health Centers of the Lehigh Valley
635 E Broad Street
Bethlehem, PA 18018-6332

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	WHITEHALL PHARMACY	RIKIN PATEL	4117 MAIN ST	WHITEHALL	PA	18052-1805	01/19/2023	04/01/2023			04/01/2023

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC24158-00	Active	BPS-H80-011762	NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY	Vida Nueva at Casa Guadalupe	218 N 2nd St	Allentown	PA
CHC24158-01	Active	BPS-H80-016941	NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY	Neighborhood Health Centers of the Lehigh Valley- Bethlehem	1210 E. Fourth Street Fowler Family Center	Bethlehem	PA
CHC24158-02	Active	BPS-H80-018987	NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY	Neighborhood Health Centers of Lehigh Valley - Easton	1101 Northampton Street Suite 102	Easton	PA
CHC24158-03	Active	BPS-H80-028337	NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY	Neighborhood Health Centers of the Lehigh Valley- Broad Street	635 E Broad St	Bethlehem	PA
CHC24158-04	Active	BPS-H80-035775	NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY	Neighborhood Health Centers of the Lehigh Valley- Hamilton Street	160 Hamilton St	Allentown	PA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date
CHC24158-00	ALLENTOWN PHARMACY INC	416 W TILGHMAN ST		ALLENTOWN	PA	18102	01/01/2023
CHC24158-00	BETHLEHEM PHARMACY RX INC	817 E 4TH ST APT 1	FL 1	BETHLEHEM	PA	18015	01/01/2023
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03241	1855 SOUTH 5TH STREET	ALLENTOWN	PA	18103	10/01/2015
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05715	1702 W TILGHMAN ST.	ALLENTOWN	PA	18104	10/01/2015
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03495	2979 LINDEN ST	BETHLEHEM	PA	18017	01/01/2016
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04852	2240 SCHOENERSVILLE RD	BETHLEHEM	PA	18017	01/01/2016
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21169	541 HAMILTON ST	ALLENTOWN	PA	18101	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04852	2240 SCHOENERSVILLE RD	BETHLEHEM	PA	18017	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09994	1955 SULLIVAN TRAIL	EASTON	PA	18040	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03255	1319 HANOVER AVE.	ALLENTOWN	PA	18109-2018	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05715	1702 W TILGHMAN ST.	ALLENTOWN	PA	18104	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04852	2240 SCHOENERSVILLE RD	BETHLEHEM	PA	18017	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03495	2979 LINDEN ST	BETHLEHEM	PA	18017	07/01/2021
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21169	541 HAMILTON ST	ALLENTOWN	PA	18101	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05985	2535 WILLIAM PENN HWY	EASTON	PA	18045-5222	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09994	1955 SULLIVAN TRAIL	EASTON	PA	18040	07/01/2021
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03255	1319 HANOVER AVE.	ALLENTOWN	PA	18109-2018	07/01/2021
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09801	6379 HAMILTON BLVD STE 7	ALLENTOWN	PA	18106	07/01/2021
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05985	2535 WILLIAM PENN HWY	EASTON	PA	18045-5222	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09801	6379 HAMILTON BLVD STE 7	ALLENTOWN	PA	18106	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05715	1702 W TILGHMAN ST.	ALLENTOWN	PA	18104	07/01/2021
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09994	1955 SULLIVAN TRAIL	EASTON	PA	18040	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 09801	6379 HAMILTON BLVD STE 7	ALLENTOWN	PA	18106	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA WALGREENS SPECIALTY PHARMACY #21169	541 HAMILTON ST	ALLENTOWN	PA	18101	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03495	2979 LINDEN ST	BETHLEHEM	PA	18017	07/01/2021
CHC24158-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07425	890 W MAIN STREET	LANSDALE	PA	19446	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07425	890 W MAIN STREET	LANSDALE	PA	19446	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05985	2535 WILLIAM PENN HWY	EASTON	PA	18045-5222	07/01/2021
CHC24158-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03241	1855 SOUTH 5TH STREET	ALLENTOWN	PA	18103	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03241	1855 SOUTH 5TH STREET	ALLENTOWN	PA	18103	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03255	1319 HANOVER AVE.	ALLENTOWN	PA	18109-2018	07/01/2021
CHC24158-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07425	890 W MAIN STREET	LANSDALE	PA	19446	07/01/2021
CHC24158-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	10/01/2015
CHC24158-02	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2021
CHC24158-01	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2021
CHC24158-00	WELCOME PHARMACY	WELCOME PHARMACY	1607 NORTHAMPTON ST	EASTON	PA	18042	01/01/2023
CHC24158-00	WHITEHALL PHARMACY	RIKIN PATEL	4117 MAIN ST	WHITEHALL	PA	18052-1805	04/01/2020
CHC24158-01	WHITEHALL PHARMACY	RIKIN PATEL	4117 MAIN ST	WHITEHALL	PA	18052-1805	04/01/2020
CHC24158-02	WHITEHALL PHARMACY	RIKIN PATEL	4117 MAIN ST	WHITEHALL	PA	18052-1805	04/01/2020
CHC24158-04	WHITEHALL PHARMACY	RIKIN PATEL	4117 MAIN ST	WHITEHALL	PA	18052-1805	04/01/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/9/2024 8:51:14 AM	2/18/2025 9:58:21 AM	2/18/2025 9:58 AM
Details	Last Recertification Date	Update	Recertification		2/9/2024 8:51:14 AM	2/9/2024 8:51 AM
Details	State	Update		Approved	Active	4/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		Craig, Melissa Miranda Executive Director and CEO Neighborhood Health Centers of the Lehigh Valley 6108418400-2302	1/19/2023 3:01 PM
Details	340B ID	Update	New Registration		CHC24158-04	1/19/2023 3:01 PM
Dates	Participating Approval Date	Update	New Registration		1/19/2023 3:01:26 PM	1/19/2023 3:01 PM
Details	State	Update	New Registration	Pending	Approved	1/19/2023 3:01 PM
Dates	Signed By Date	Update	New Registration		1/15/2023 12:21:47 PM	1/19/2023 3:01 PM
Dates	Start Date	Update	New Registration		4/1/2023 12:00:00 AM	1/19/2023 3:01 PM
Contacts	Authorizing Official	Update	Profile Change Request	Craig, Melissa Miranda Executive Director and CEO Neighborhood Health Centers of the Lehigh Valley 6108207605-2302	Craig, Melissa Miranda Executive Director and CEO Neighborhood Health Centers of the Lehigh Valley 6108418400-2302	1/15/2023 12:22 PM
Addresses	Main Address	Insert	New Registration		160 Hamilton St Allentown, PA 18101-1948	1/15/2023 12:21 PM
Addresses	Billing Address	Insert	New Registration		Neighborhood Health Centers of the Lehigh Valley 635 E Broad Street Bethlehem, PA 18018-6332	1/15/2023 12:21 PM
Contacts	Authorizing Official	Insert	New Registration		Craig, Melissa Miranda Executive Director and CEO Neighborhood Health Centers of the Lehigh Valley 6108207605-2302	1/15/2023 12:21 PM
Contacts	Primary Contact	Insert	New Registration		Haddad, Paula Fiscal Quality & Compliance Specialist Neighborhood Health Centers of the Lehigh Vlley 6108418400	1/15/2023 12:21 PM
Details	Assistance Received From Date	Insert	New Registration			1/15/2023 12:21 PM
Details	Assistance Received To Date	Insert	New Registration			1/15/2023 12:21 PM
Details	Last Recertification Date	Insert	New Registration			1/15/2023 12:21 PM
Details	Grant Number	Insert	New Registration		H80CS24158	1/15/2023 12:21 PM
Details	340B ID	Insert	New Registration			1/15/2023 12:21 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/15/2023 12:21 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/15/2023 12:21 PM
Details	Medicare Provider Number	Insert	New Registration			1/15/2023 12:21 PM
Details	Entity Name	Insert	New Registration		NEIGHBORHOOD HEALTH CENTERS OF LEHIGH VALLEY	1/15/2023 12:21 PM
Details	NOFO Number	Insert	New Registration			1/15/2023 12:21 PM
Details	Program Code	Insert	New Registration		CH	1/15/2023 12:21 PM
Details	Entity Subname	Insert	New Registration		Neighborhood Health Centers of the Lehigh Valley- Hamilton Street	1/15/2023 12:21 PM
Dates	Participating Approval Date	Insert	New Registration			1/15/2023 12:21 PM
Details	State	Insert	New Registration		Pending	1/15/2023 12:21 PM
Dates	Registration Date	Insert	New Registration		1/15/2023 12:21:43 PM	1/15/2023 12:21 PM
Dates	Signed By Date	Insert	New Registration			1/15/2023 12:21 PM
Dates	Start Date	Insert	New Registration			1/15/2023 12:21 PM
Terminations	Termination Comments	Insert	New Registration			1/15/2023 12:21 PM
Terminations	Termination Date	Insert	New Registration			1/15/2023 12:21 PM
Terminations	Termination Effective Date	Insert	New Registration			1/15/2023 12:21 PM
Terminations	Termination Reason	Insert	New Registration			1/15/2023 12:21 PM

340B Drug Pricing Program Database