340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH05175M ACCESS COMMUNITY HEALTH NETWORK (Active)
Print
Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Booker Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005576
340B ID
CH05175M
Grant Number
H80CS00834
Additional Details
Current Program Status
Active
Registration Date
4/1/1999
Participating Start Date
4/1/1999
Participating Approval Date
11/3/2003
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Access Community Health Network
Mahomed Ouedraogo, Chief Executive Officer
(312) 526-2360
Primary Contact
Access Community Health Network
Kenneth Pacheco, Director, Pharmacy and Lab Services
(312) 526-2107
Addresses
Street Address
654 E 47th St
Chicago, IL 60653-4224
Billing Address
ACCESS COMMUNITY HEALTH NETWORK
600 W Fulton St
Suite 300
CHICAGO, IL 60661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
3
of
3
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
3
of
3
Page:
of 1
Go
Page size:
Change
4/17/12-Removed the Medicaid number; 7/13/10 ADDED BILL TO; CHANGE OF ADDRESS EFFECTIVE 09/19/2003
04/17/2012
7/13/10 ADDED BILL TO; CHANGE OF ADDRESS EFFECTIVE 09/19/2003
11/03/2003
7/13/10 ADDED BILL TO; CHANGE OF ADDRESS EFFECTIVE 09/19/2003
11/03/2003
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