1 associated location — data as of October 5, 2026
Tribal contract or compact with IHS (P.L. 93-638) · Jamestown, CA
mathiesen memorial Health Clinic
Taking partYesLast certifiedFebruary 3, 2026
- 0Registered locations
- 1Associated locations
- 40Contract pharmacies
- 29With no end date
- April 1, 2018In 340B since
Where this record sits: among the 105 records of this type in California, the median open contract-pharmacy count is 0; this record’s open count ranks 6.
Finances, as filed
From this health center’s Medicare cost report for the year ended December 31, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Gross patient revenues | $12,619,405 | CMS-224-14 worksheet F100000 line 100 column 400 |
| Net patient revenues | $12,619,405 | CMS-224-14 worksheet F100000 line 300 column 200 |
| Total operating expenses | $13,755,856 | CMS-224-14 worksheet F100000 line 1700 column 200 |
| Net income from service to patients | −$1,136,451 | CMS-224-14 worksheet F100000 line 1800 column 200 |
Cost report filed under CMS certification number 551130 for January 1, 2024 to December 31, 2024, as submitted. The public file it was read from.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- April 1, 2018
- Certification date
- February 3, 2026
- Record last edited
- February 3, 2026
Identifiers
- 340B ID
- FQHC638549
- Entity type as filed
- FQHC638
- NPI
- 1255595484 (CA)
18144 Seco Street, Jamestown CA 95327
Associated locations
| mathiesen memorial Health Clinic | 18144 Seco Street | Jamestown CA 95327 |
Pharmacy contracts
No end date filed29
| ACARIAHEALTH PHARMACY #11, INC | HOUSTON, TX | July 1, 2020 | no end date filed |
| ACARIAHEALTH PHARMACY #14, INC. | SACRAMENTO, CA | July 1, 2020 | no end date filed |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | January 1, 2021 | no end date filed |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | July 1, 2020 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | January 1, 2021 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | January 1, 2021 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | January 1, 2021 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | January 1, 2021 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | January 1, 2021 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | January 1, 2021 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | July 1, 2020 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | January 1, 2021 | no end date filed |
| CVS CAREMARK | WILKES BARRE, PA | July 1, 2022 | no end date filed |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | July 1, 2022 | no end date filed |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | January 1, 2021 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | OAKDALE, CA | January 1, 2021 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | ANGELS CAMP, CA | January 1, 2021 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | CLOVIS, CA | July 1, 2022 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | JACKSON, CA | January 1, 2021 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | VALLEY SPRINGS, CA | July 1, 2020 | no end date filed |
| LONGS DRUG STORES CALIFORNIA, L.L.C. | SONORA, CA | July 1, 2020 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | October 1, 2021 | no end date filed |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | October 1, 2021 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | July 1, 2020 | no end date filed |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | January 1, 2021 | no end date filed |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | January 1, 2021 | no end date filed |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | January 1, 2021 | no end date filed |
| SPECIALTY THERAPEUTIC CARE | HOUSTON, TX | July 1, 2020 | no end date filed |
| THRIFTY PAYLESS, INC. | SONORA, CA | October 1, 2019 | no end date filed |
An end date is filed11
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| AVELLA OF DEER VALLEY, INC. #38 | PHOENIX, AZ | July 1, 2018 | September 5, 2018 |
| AVELLA OF SACRAMENTO, INC. | SACRAMENTO, CA | July 1, 2018 | July 15, 2021 |
| COMMUNITY MEDICAL CENTER PHARMACY | SAN DIEGO, CA | July 1, 2018 | September 5, 2018 |
| M.N. PHARMACY LLC | MIAMI, FL | July 1, 2018 | September 5, 2018 |
| OPTUM PHARMACY 806, INC. | SACRAMENTO, CA | July 6, 2020 | July 15, 2021 |
| PILLPACK LLC | MANCHESTER, NH | July 1, 2018 | September 5, 2018 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | April 1, 2020 | August 19, 2026 |
| WAL-MART PHARMACY 10-2030 | SONORA, CA | October 1, 2019 | August 19, 2026 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | April 1, 2020 | August 19, 2026 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | January 1, 2024 | August 19, 2026 |
| WESTERN PHARMACY GROUP LLC | SAN DIEGO, CA | July 1, 2018 | September 5, 2018 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, read October 5, 2026.
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