340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHC26568-02 SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER (Active)
Print
Main Details
Name
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER
Subdivision Name
Southlake Community Mental Health Center, Inc., d.b.a. Regional Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015776
340B ID
CHC26568-02
Grant Number
H80CS26568
Additional Details
Current Program Status
Active
Registration Date
10/6/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Southlake Community Mental Health Center, Inc
Amy Lopez, Executive Director
(219) 671-6047
Primary Contact
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER
Lori Bugielski, Pharmacy Tech/analyst
(219) 840-2694
Addresses
Street Address
3903 Indianapolis Blvd
East Chicago, IN 46312-2555
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
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