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CH10018I HEALTH WEST, INC. (Terminated)
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Main Details
Name
HEALTH WEST, INC.
Subdivision Name
MCCAMMON CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006054
340B ID
CH10018I
Grant Number
H80CS00321
Additional Details
Current Program Status
Terminated
Registration Date
8/31/2007
Participating Start Date
10/1/2007
Participating Approval Date
9/6/2007
Last Recertification Date
2/22/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Health West, Inc.
Mindy Benedetti, CEO
(208) 232-7862 Ext: 1120
Primary Contact
Health West Inc.
Nancy Wright, Director of Executive Services
(208) 232-7862 Ext: 1100
Addresses
Street Address
204 CENTER STREET
MCCAMMON, ID 83250
Billing Address
HEALTH WEST, INC.
PO BOX 2377
POCATELLO, ID 83206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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