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CH10630H BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Sandpoint Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033578
340B ID
CH10630H
Grant Number
H80CS00302
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/3/2004
Last Recertification Date
2/12/2025
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
810 6th Ave
Sandpoint, ID 83864
Billing Address
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
P O Box 2160
Sandpoint, ID 83864
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/15/06 ADDR CHANGE (WAS 1109 FONTAINE DRIVE, PONDERAY ID 83852)
03/08/2007
May 2025
May 2025
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