340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH03160C TRI-STATE COMMUNITY HEALTH CENTER (Active)
Print
Main Details
Name
TRI-STATE COMMUNITY HEALTH CENTER
Subdivision Name
Tri-State Women's Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008693
340B ID
CH03160C
Grant Number
H80CS00069
Additional Details
Current Program Status
Active
Registration Date
11/14/2005
Participating Start Date
11/14/2005
Participating Approval Date
11/14/2005
Last Recertification Date
3/10/2025
Contacts
Authorizing Official
Tri-State Community Health Center
SHEILA DESHONG, COO
(301) 678-5187 Ext: 226
Primary Contact
Tri-State Community Health Center
James Seaver, Director of Clinical Services
(301) 678-5187
Addresses
Street Address
12502 Willowbrook Avenue
Suite 550
Cumberland, MD 21502
Billing Address
TRI-STATE COMMUNITY HEALTH CENTER, INC.
109 RAYLOC DRIVE
HANCOCK, MD 21750
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
7/14/11 - CHANGED PHYSICAL ADDRESS FROM 600 MEMORIAL AVENUE, SUITE 302. CHANGED CONTACT PERSON FROM WILLIAM B. WOOD, JR. 7/21/11 - Changed AO extention and title from CEO.
07/21/2011
7/14/11 - CHANGED PHYSICAL ADDRESS FROM 600 MEMORIAL AVENUE, SUITE 302. CHANGED CONTACT PERSON FROM WILLIAM B. WOOD, JR.
07/14/2011
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session