340B Drug Pricing Program Database
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ST. ALPHONSUS MEDICAL CENTER - NAMP (Pending)
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Main Details
Name
ST. ALPHONSUS MEDICAL CENTER - NAMP
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
Medicare Provider Number
130013
Additional Details
Current Program Status
Pending
Registration Date
1/9/2025
Participating Start Date
Participating Approval Date
Last Recertification Date
Contacts
Authorizing Official
Saint Alphonsus Health System
Lannie Checketts, RHM CFO Idaho Oregon Region
(208) 367-7347
Primary Contact
Trinity Health
Carisa Ann McGehee, 340B Analyst
(208) 367-2087
Addresses
Street Address
1512 12TH AVE ROAD
NAMPA, ID 83686
Billing Address
Saint Alphonsus Medical Center- Nampa
4300 E Flamingo Ave
Nampa, ID 83687
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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February 2025
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