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CH10165E FAMILY HEALTH SERVICES CORPORATION (Active)
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Main Details
Name
FAMILY HEALTH SERVICES CORPORATION
Subdivision Name
FAMILY HEALTH SERVICES - JEROME MEDICAL & DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031758
340B ID
CH10165E
Grant Number
H80CS00425
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/30/2003
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Family Health Services
Aaron J Houston, CEO
(208) 734-3312 Ext: 6708
Primary Contact
Family Health Services
Mirela Avalos, 340B Manager
(208) 734-3312 Ext: 6707
Addresses
Street Address
218 W Nez Perce
Jerome, ID 83338-5077
Billing Address
FAMILY HEALTH SERVICES CORPORATION
794 EASTLAND DRIVE
TWIN FALLS, ID 83301-4544
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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