340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHC638535 Shoshone-Bannock Tribes (Terminated)
Print
Main Details
Name
Shoshone-Bannock Tribes
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638535
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/29/2013
Last Recertification Date
2/23/2017
Termination Date
Termination Reason
4/1/2017
Failure to recertify
Contacts
Authorizing Official
Gaylene Turnage, Tribal CO
(208) 478-3821
Primary Contact
Gaylene Turnage, Tribal CO
(208) 478-3821
Addresses
Street Address
Pima Drive
Fort Hall, ID 83203
Billing Address
Shoshone Banock Tribes
PO Box 306
Fort Hall, ID 83203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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