340B Drug Pricing Program Database


CHC26606-06 HORIZON HEALTH & WELLNESS INC (Active) - information as of 5/20/2025 12:47:46 AM

Main Details
HORIZON HEALTH & WELLNESS INC
Queen Creek
HRSA-Funded Health Center
BPS-H80-018676
CHC26606-06
H80CS26606


Additional Details
Active
7/13/2023
10/1/2023
7/25/2023
2/10/2025

Contacts

Horizon Health And Wellness
Ben Baxter, CFO
(480) 474-5619

Horizon Health And Wellness
Andrew John Horan, Director of Financial Planning
(480) 474-5516

Addresses

22713 S Ellsworth Rd Bldg A
Queen Creek, AZ 85142-7886

Horizon Health and Wellness, Inc.
625 N Plaza Drive
Apache Junction, AZ 85120


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailGENOA HEALTHCARE LLC10217 N METRO PKWY W RM A113
PHOENIXAZ8505107/25/202310/01/2023  10/01/2023
Contract DetailGENOA HEALTHCARE LLC625 N PLAZA DR
APACHE JUNCTIONAZ8512007/25/202310/01/2023  10/01/2023
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04188 55 W. APACHE TRAIL
APACHE JUNCTIONAZ8512010/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05392 420 S. SOSSAMAN ROAD
MESAAZ8520810/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520610/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS #12335 10825 E BASELINE RD
MESAAZ8520910/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06129 2021 N PINAL AVE
CASA GRANDEAZ8512210/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06440 6951 S KINGS RANCH RD
GOLD CANYONAZ8511810/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06333 2440 S IRONWOOD DRIVE
APACHE JUNCTIONAZ8512010/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02219 2801 S 4TH AVE
YUMAAZ8536410/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09652 1575 N ARIZONA BLVD
COOLIDGEAZ8512810/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535310/11/202301/01/2024  01/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS #10505 2785 N. PINAL AVE
CASA GRANDEAZ8512210/11/202301/01/2024  01/01/2024
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC26606-00ActiveBPS-H80-013142HORIZON HEALTH & WELLNESS INCApache Junction625 N Plaza Dr Apache JunctionAZ
CHC26606-01ActiveBPS-H80-037965HORIZON HEALTH & WELLNESS INCFlorence495 N. Pinal Parkway, Suite 106 FlorenceAZ
CHC26606-02ActiveBPS-H80-032156HORIZON HEALTH & WELLNESS INCCasa Grande210 E Cottonwood Ln Casa GrandeAZ
CHC26606-03ActiveBPS-H80-033523HORIZON HEALTH & WELLNESS INCYuma1185 S Redondo Center Dr Ste 1 YumaAZ
CHC26606-04ActiveBPS-H80-018678HORIZON HEALTH & WELLNESS INCOracle980 E Mt Lemmon Rd OracleAZ
CHC26606-05ActiveBPS-H80-024619HORIZON HEALTH & WELLNESS INCCasa Grande115 W 2nd St Casa GrandeAZ
CHC26606-06ActiveBPS-H80-018676HORIZON HEALTH & WELLNESS INCQueen Creek22713 S Ellsworth Rd Bldg A Queen CreekAZ
CHC26606-07ActiveBPS-H80-037204HORIZON HEALTH AND WELLNESS, INC.Chandler Pediatrics1445 W. Chandler Boulevard STE B-10 ChandlerAZ
CHC26606-08ActiveBPS-H80-038265HORIZON HEALTH AND WELLNESS, INC.Globe Clinic415 W Baseline Spur GlobeAZ
CHC26606-09ActiveBPS-H80-038264HORIZON HEALTH AND WELLNESS, INC.North Valley Pediatrics702 East Bell Road PhoenixAZ
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC26606-04GENOA HEALTHCARE LLC10217 N METRO PKWY W RM A113
PHOENIXAZ8505110/01/2023  
CHC26606-03GENOA HEALTHCARE LLC1185 S REDONDO CENTER DR STE 3
YUMAAZ8536510/01/2023  
CHC26606-02GENOA HEALTHCARE LLC210 E COTTONWOOD LN RM 102
CASA GRANDEAZ8512210/01/2023  
CHC26606-01GENOA HEALTHCARE LLC10217 N METRO PKWY W RM A113
PHOENIXAZ8505110/01/2023  
CHC26606-06GENOA HEALTHCARE LLC10217 N METRO PKWY W RM A113
PHOENIXAZ8505110/01/2023  
CHC26606-06GENOA HEALTHCARE LLC625 N PLAZA DR
APACHE JUNCTIONAZ8512010/01/2023  
CHC26606-03GENOA HEALTHCARE LLC2545 S ARIZONA AVE BLDG B
YUMAAZ8536410/01/2023  
CHC26606-05GENOA HEALTHCARE LLC210 E COTTONWOOD LN RM 102
CASA GRANDEAZ8512210/01/2023  
CHC26606-05GENOA HEALTHCARE LLC10217 N METRO PKWY W RM A113
PHOENIXAZ8505110/01/2023  
CHC26606-04GENOA HEALTHCARE LLC625 N PLAZA DR
APACHE JUNCTIONAZ8512010/01/2023  
CHC26606-01GENOA HEALTHCARE LLC625 N PLAZA DR
APACHE JUNCTIONAZ8512010/01/2023  
CHC26606-02GENOA HEALTHCARE LLC10217 N METRO PKWY W RM A113
PHOENIXAZ8505110/01/2023  
CHC26606-00GENOA HEALTHCARE LLC625 N PLAZA DR
APACHE JUNCTIONAZ8512010/01/2023  
CHC26606-00GENOA HEALTHCARE LLC10217 N METRO PKWY W RM A113
PHOENIXAZ8505110/01/2023  
CHC26606-00GERMAN DOBSON CVS, L.L.C.CVS/PHARMACY # 10028 11464 SOUTH FORTUNA RD.
YUMAAZ8536701/01/2024  
CHC26606-00GERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07075 2995 E. CHANDLER HEIGHTS RD.
CHANDLERAZ8524901/01/2024  
CHC26606-00GERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 00086 1686 E FLORENCE BLVD
CASA GRANDEAZ8512201/01/2024  
CHC26606-00GERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07262 18460 N. 7TH ST.
PHOENIXAZ8502207/01/2024  
CHC26606-00GERMAN DOBSON CVS, L.L.C.DBA: CVS/PHARMACY # 07116 1855 W. THUNDERBIRD RD.
PHOENIXAZ8502307/01/2024  
CHC26606-00GERMAN DOBSON CVS, L.L.C.CVS PHARMACY # 17312 16806 N 7TH ST
PHOENIXAZ8502207/01/2024  
CHC26606-00GERMAN DOBSON CVS, L.L.C.DBA CVS/PHARMACY #11144 100 NORTH BROAD ST.
GLOBEAZ8550107/01/2024  
CHC26606-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2024  
CHC26606-00WAL-MART PHARMACY 10-13812555 WEST APACHE TRAIL
APACHE JUNCTIONAZ8512010/01/2024  
CHC26606-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06129 2021 N PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #10505 2785 N. PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02611 1150 W 8TH ST STE A
YUMAAZ8536401/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535301/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04188 55 W. APACHE TRAIL
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #12335 10825 E BASELINE RD
MESAAZ8520901/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06440 6951 S KINGS RANCH RD
GOLD CANYONAZ8511801/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #10505 2785 N. PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06129 2021 N PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04188 55 W. APACHE TRAIL
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #10505 2785 N. PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #10505 2785 N. PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535301/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06129 2021 N PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520601/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06129 2021 N PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06440 6951 S KINGS RANCH RD
GOLD CANYONAZ8511801/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05392 420 S. SOSSAMAN ROAD
MESAAZ8520801/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06333 2440 S IRONWOOD DRIVE
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05392 420 S. SOSSAMAN ROAD
MESAAZ8520801/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #10505 2785 N. PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520601/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #12335 10825 E BASELINE RD
MESAAZ8520901/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #12335 10825 E BASELINE RD
MESAAZ8520901/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09652 1575 N ARIZONA BLVD
COOLIDGEAZ8512801/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09652 1575 N ARIZONA BLVD
COOLIDGEAZ8512801/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04188 55 W. APACHE TRAIL
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520601/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535301/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05392 420 S. SOSSAMAN ROAD
MESAAZ8520801/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535301/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02219 2801 S 4TH AVE
YUMAAZ8536401/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520601/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #12335 10825 E BASELINE RD
MESAAZ8520901/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #12335 10825 E BASELINE RD
MESAAZ8520901/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09652 1575 N ARIZONA BLVD
COOLIDGEAZ8512801/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06333 2440 S IRONWOOD DRIVE
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05392 420 S. SOSSAMAN ROAD
MESAAZ8520801/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06440 6951 S KINGS RANCH RD
GOLD CANYONAZ8511801/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02219 2801 S 4TH AVE
YUMAAZ8536401/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04188 55 W. APACHE TRAIL
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06129 2021 N PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09652 1575 N ARIZONA BLVD
COOLIDGEAZ8512801/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06440 6951 S KINGS RANCH RD
GOLD CANYONAZ8511801/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09652 1575 N ARIZONA BLVD
COOLIDGEAZ8512801/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06440 6951 S KINGS RANCH RD
GOLD CANYONAZ8511801/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535301/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09652 1575 N ARIZONA BLVD
COOLIDGEAZ8512801/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06129 2021 N PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02219 2801 S 4TH AVE
YUMAAZ8536401/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02219 2801 S 4TH AVE
YUMAAZ8536401/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535301/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06333 2440 S IRONWOOD DRIVE
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520601/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06129 2021 N PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04188 55 W. APACHE TRAIL
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06333 2440 S IRONWOOD DRIVE
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06440 6951 S KINGS RANCH RD
GOLD CANYONAZ8511801/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05392 420 S. SOSSAMAN ROAD
MESAAZ8520801/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06333 2440 S IRONWOOD DRIVE
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #12335 10825 E BASELINE RD
MESAAZ8520901/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520601/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02771 1305 S GREENFIELD RD
MESAAZ8520601/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06333 2440 S IRONWOOD DRIVE
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02219 2801 S 4TH AVE
YUMAAZ8536401/01/2024  
CHC26606-00WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05392 420 S. SOSSAMAN ROAD
MESAAZ8520801/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 02219 2801 S 4TH AVE
YUMAAZ8536401/01/2024  
CHC26606-01WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 05392 420 S. SOSSAMAN ROAD
MESAAZ8520801/01/2024  
CHC26606-03WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04188 55 W. APACHE TRAIL
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-05WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #12335 10825 E BASELINE RD
MESAAZ8520901/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06333 2440 S IRONWOOD DRIVE
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04188 55 W. APACHE TRAIL
APACHE JUNCTIONAZ8512001/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 09652 1575 N ARIZONA BLVD
COOLIDGEAZ8512801/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200 		TOLLESONAZ8535301/01/2024  
CHC26606-06WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #10505 2785 N. PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-04WALGREEN ARIZONA DRUG CO.DBA: WALGREENS #10505 2785 N. PINAL AVE
CASA GRANDEAZ8512201/01/2024  
CHC26606-02WALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 06440 6951 S KINGS RANCH RD
GOLD CANYONAZ8511801/01/2024  
CHC26606-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275610/01/2024  
CHC26606-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/4/2024 7:57:19 PM2/10/2025 10:43:24 AM2/10/2025 10:43 AM
AddressesBilling AddressInsertChange Request Horizon Health and Wellness, Inc. 625 N Plaza Drive Apache Junction, AZ 851204/8/2024 4:07 PM
DetailsLast Recertification DateUpdateRecertification 2/4/2024 7:57:19 PM2/4/2024 7:57 PM
DetailsStateUpdate ApprovedActive10/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Baxter, Ben CFO Horizon Health And Wellness 48047456197/25/2023 7:25 AM
Details340B IDUpdateNew Registration CHC26606-067/25/2023 7:25 AM
DatesParticipating Approval DateUpdateNew Registration 7/25/2023 7:25:44 AM7/25/2023 7:25 AM
DetailsStateUpdateNew RegistrationPendingApproved7/25/2023 7:25 AM
DatesSigned By DateUpdateNew Registration 7/13/2023 6:09:07 PM7/25/2023 7:25 AM
DatesStart DateUpdateNew Registration 10/1/2023 12:00:00 AM7/25/2023 7:25 AM
AddressesMain AddressInsertNew Registration  22713 S Ellsworth Rd Bldg A Queen Creek, AZ 85142-78867/13/2023 2:47 PM
ContactsPrimary ContactInsertNew Registration Horan, Andrew John Director of Financial Planning Horizon Health And Wellness 48047455167/13/2023 2:47 PM
ContactsAuthorizing OfficialInsertNew Registration Baxter, Ben CFO Horizon Health And Wellness 48047456197/13/2023 2:47 PM
DetailsAssistance Received From DateInsertNew Registration  7/13/2023 2:47 PM
DetailsAssistance Received To DateInsertNew Registration  7/13/2023 2:47 PM
DetailsLast Recertification DateInsertNew Registration  7/13/2023 2:47 PM
DetailsGrant NumberInsertNew Registration H80CS266067/13/2023 2:47 PM
Details340B IDInsertNew Registration  7/13/2023 2:47 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/13/2023 2:47 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/13/2023 2:47 PM
DetailsMedicare Provider NumberInsertNew Registration  7/13/2023 2:47 PM
DetailsEntity NameInsertNew Registration HORIZON HEALTH & WELLNESS INC7/13/2023 2:47 PM
DetailsNOFO NumberInsertNew Registration  7/13/2023 2:47 PM
DetailsProgram CodeInsertNew Registration CH7/13/2023 2:47 PM
DetailsEntity SubnameInsertNew Registration Queen Creek7/13/2023 2:47 PM
DatesParticipating Approval DateInsertNew Registration  7/13/2023 2:47 PM
DetailsStateInsertNew Registration Pending7/13/2023 2:47 PM
DatesRegistration DateInsertNew Registration 7/13/2023 2:47:35 PM7/13/2023 2:47 PM
DatesSigned By DateInsertNew Registration  7/13/2023 2:47 PM
DatesStart DateInsertNew Registration  7/13/2023 2:47 PM
TerminationsTermination CommentsInsertNew Registration  7/13/2023 2:47 PM
TerminationsTermination DateInsertNew Registration  7/13/2023 2:47 PM
TerminationsTermination Effective DateInsertNew Registration  7/13/2023 2:47 PM
TerminationsTermination ReasonInsertNew Registration  7/13/2023 2:47 PM