340B Drug Pricing Program Database
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DSH130007A Saint Alphonsus Regional Medical Center (Active)
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Main Details
Name
Saint Alphonsus Regional Medical Center
Subdivision Name
Saint Alphonsus Cancer Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH130007A
Medicare Provider Number
130007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/12/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/17/2012
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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Last Updated On
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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 on 3/1/2013 submitted with outpatient registrations indicated that the DSH percentage dropped below statutory minimum.
03/05/2013
April 2025
April 2025
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