340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH131319-00 Minidoka Memorial Hospital (Active)
Print
Main Details
Name
Minidoka Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH131319-00
Medicare Provider Number
131319
Additional Details
Current Program Status
Active
Registration Date
3/20/2012
Participating Start Date
7/1/2012
Participating Approval Date
4/10/2012
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Minidoka Memorial Hospital
Thomas J Murphy, CEO
(208) 436-8141
Primary Contact
Minidoka Memorial Hospital
David dward@minidokamemorial.com Ward, Pharmacy Director
(208) 436-0481 Ext: 2504
Addresses
Street Address
1224 8th St
Rupert, ID 83350
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session