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CH10630L BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC (Approved)
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Main Details
Name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC
Subdivision Name
Kaniksu CCBHC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039408
340B ID
CH10630L
Grant Number
H80CS00302
Additional Details
Current Program Status
Approved
Registration Date
4/10/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/24/2025
Last Recertification Date
Contacts
Authorizing Official
Boundary Regional Community Health Center, Inc
Emma Keverkamp, Chief Financial Officer
(208) 263-7101 Ext: 2213
Primary Contact
Boundary Regional Community Health Center Inc
Kayla Ann Dotson, Pharmacy Director
(208) 263-7101
Addresses
Street Address
1033 Baldy Mountain Rd
Sandpoint, ID 83864-9202
Billing Address
Boundary Regional Community Health Center, Inc
PO Box 2160
Sandpoint, ID 83864
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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