Velarion Records

Public registries, as they were filed.

FQHC — tribal (638) · CA

mathiesen memorial Health Clinic

  • 0Registered locations
  • 1Associated locations
  • 40Contract pharmacies
  • 29With no end date
  • 1 April 2018In 340B since

Finances, as filed

This entity type does not file a Medicare cost report; no finances are recorded.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “mathiesen memorial Health Clinic” (340B ID FQHC638549), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638549

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
1 April 2018
Certification date
3 February 2026
Record last edited
3 February 2026

Identifiers

340B ID
FQHC638549
Entity type as filed
FQHC638
NPI
1255595484 (CA)

18144 Seco Street, Jamestown CA 95327

Associated locations

OrganizationAddressWhere
mathiesen memorial Health Clinic18144 Seco StreetJamestown CA 95327

Pharmacy contracts

PharmacyWhereBeginsEnds
ACARIAHEALTH PHARMACY #11, INCHOUSTON, TX1 July 2020no end date filed
ACARIAHEALTH PHARMACY #14, INC.SACRAMENTO, CA1 July 2020no end date filed
CAREMARK FLORIDA SPECIALTY PHARMACY LLCTAMPA, FL1 January 2021no end date filed
CAREMARK ILLINOIS SPECIALTY PHARMACY, LLMOUNT PROSPECT, IL1 July 2020no end date filed
CAREMARK KANSAS SPECIALTY PHARMACYLENEXA, KS1 January 2021no end date filed
CAREMARK MASSACHUSETTS SPECIALTY PHARMACMILFORD, MA1 January 2021no end date filed
CAREMARK MICHIGAN SPECIALTY PHARMACY, LLTROY, MI1 January 2021no end date filed
CAREMARK NEW JERSEY SPECIALTY PHCY, LLCFAIRFIELD, NJ1 January 2021no end date filed
CAREMARK NORTH CAROLINA SPECIALTY PHARMARALEIGH, NC1 January 2021no end date filed
CAREMARK TENNESSEE SPECIALTY PHARMACY, LBARTLETT, TN1 January 2021no end date filed
CAREMARK, L.L.C.REDLANDS, CA1 July 2020no end date filed
CAREMARK, L.L.C.LAS VEGAS, NV1 January 2021no end date filed
CVS CAREMARKWILKES BARRE, PA1 July 2022no end date filed
CVS CAREMARK ADVANCED TECHNOLOGY PHARMACMT PROSPECT, IL1 July 2022no end date filed
CVS/SPECIALTY OR CARELONRX SPECIALTY PHAFLOWER MOUND, TX1 January 2021no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.JACKSON, CA1 January 2021no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.ANGELS CAMP, CA1 January 2021no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.CLOVIS, CA1 July 2022no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.OAKDALE, CA1 January 2021no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.SONORA, CA1 July 2020no end date filed
LONGS DRUG STORES CALIFORNIA, L.L.C.VALLEY SPRINGS, CA1 July 2020no end date filed
OPTUM PHARMACY 702, LLCJEFFERSONVILLE, IN1 October 2021no end date filed
OPTUM PHARMACY 707, INCIRWINDALE, CA1 October 2021no end date filed
PROCARE PHARMACY DIRECT, L.L.C.MONROEVILLE, PA1 July 2020no end date filed
PROCARE PHARMACY, L.L.C.BIRMINGHAM, AL1 January 2021no end date filed
PROCARE PHARMACY, L.L.C.COLUMBIA, SC1 January 2021no end date filed
PROCARE PHARMACY, L.L.C.HONOLULU, HI1 January 2021no end date filed
SPECIALTY THERAPEUTIC CAREHOUSTON, TX1 July 2020no end date filed
THRIFTY PAYLESS, INC.SONORA, CA1 October 2019no end date filed
WAL-MART CENTRAL FILL 10-2670SPRING, TX1 April 202019 August 2026
WAL-MART PHARMACY 10-2030SONORA, CA1 October 201919 August 2026
WAL-MART PHARMACY 10-5997ORLANDO, FL1 April 202019 August 2026
WALMART PHARMACY 10-5169ROGERS, AR1 January 202419 August 2026
AVELLA OF SACRAMENTO, INC.SACRAMENTO, CA1 July 201815 July 2021
OPTUM PHARMACY 806, INC.SACRAMENTO, CA6 July 202015 July 2021
AVELLA OF DEER VALLEY, INC. #38PHOENIX, AZ1 July 20185 September 2018
COMMUNITY MEDICAL CENTER PHARMACYSAN DIEGO, CA1 July 20185 September 2018
M.N. PHARMACY LLCMIAMI, FL1 July 20185 September 2018
PILLPACK LLCMANCHESTER, NH1 July 20185 September 2018
WESTERN PHARMACY GROUP LLCSAN DIEGO, CA1 July 20185 September 2018

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.