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CH10630J BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
KHS Priest River
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011424
340B ID
CH10630J
Grant Number
H80CS00302
Additional Details
Current Program Status
Active
Registration Date
1/10/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/20/2013
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Boundary Regional Community Health Center, Inc
Emma Keverkamp, Chief Financial Officer
(208) 263-7101 Ext: 2213
Primary Contact
Boundary Regional Community Health Center Inc
Kayla Ann Dotson, Pharmacy Director
(208) 263-7101
Addresses
Street Address
6509 Highway 2, Ste 101
Priest River, ID 83856-6609
Billing Address
Boundary Regional Community Health Center Inc
P O Box 2160
Sandpoint, ID 83864
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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