340B Drug Pricing Program Database
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DSH130007 Saint Alphonsus Regional Medical Center (Active)
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Main Details
Name
Saint Alphonsus Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH130007
Medicare Provider Number
130007
Additional Details
Current Program Status
Active
Registration Date
2/13/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/12/2012
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Saint Alphonsus Health System
Lannie Checketts, RHM CFO Idaho Oregon Region
(208) 367-7347
Primary Contact
Trinity Health
Carisa Ann McGehee, 340B Analyst
(208) 367-2087
Addresses
Street Address
1055 N. Curtis Rd.
Boise, ID 83706
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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The 340B ID for this entity was inadvertently modified on 3/26/2013; the error was detected and the original ID restored on 3/29/2013. In addition, a comment indicating potential ineligibility was entered and the entity’s participation terminated on 3/5/2013. Eligibility was subsequently confirmed, the entity reinstated and the comment removed on 3/29/2013; the entity was continuously registered for the 340B program during this period. [TL]
03/29/2013
MCR documents submitted with outpatient registrations indicated that the DSH percentage dropped below statutory minimum.
03/05/2013
MCR documents submitted with outpatient registations indicated that the DSH percentage dropped below staturory minimum.
03/05/2013
April 2025
April 2025
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