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HV24732 Idaho State Univsersity (Terminated)

Main Details
Idaho State Univsersity
Family Medicine
Ryan White Part C
HV24732
H76HA24732


Additional Details
Terminated
10/15/2012
1/1/2013
11/8/2012
2/23/2017

4/1/2017
Failure to recertify

Contacts

Cornelis Van Der Schyf, VP Research and Grad SChool
(208) 282-2592

David Hachey, Project Director
(208) 282-5763

Addresses

1651 Alvin Ricken Drive
Suite 116
Pocatello, ID 83209-8046

Same as Street Address


  • Comments
  • Medicaid Billing
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  • History
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11/7/12 - Reviewed registration and forwarded to IS for approval.11/07/2012
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