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CH108170 Dirne Health Centers, Inc. (Active)
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Main Details
Name
Dirne Health Centers, Inc.
Subdivision Name
Heritage Health CDA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011077
340B ID
CH108170
Grant Number
H80CS02331
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
10/5/2004
Last Recertification Date
3/5/2025
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
1090 W Park Pl
Coeur D Alene, ID 83814-2785
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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3/15/06 - ADDR CHANGE (WAS 1111 IRONWOOD DRIVE)
03/15/2006
April 2025
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