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CH10817Y Dirne Health Centers, Inc. (Active)
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Main Details
Name
Dirne Health Centers, Inc.
Subdivision Name
Heritage Health Coeur d'Alene Center for Health Living
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039230
340B ID
CH10817Y
Grant Number
H80CS02331
Additional Details
Current Program Status
Active
Registration Date
10/1/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/2/2024
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Heritage Health
Michael Baker, CEO
(208) 292-0256
Primary Contact
Dirne Health Centers, Inc
Monica Graybeal, Director of Pharmacy
(208) 292-0662
Addresses
Street Address
3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Billing Address
Dirne Health Centers, Inc
PO Box 1387
Hayden, ID 83835
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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