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CH10817G Dirne Health Centers, Inc. (Active)
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Main Details
Name
Dirne Health Centers, Inc.
Subdivision Name
Heritage Health SBHC Mobile Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012744
340B ID
CH10817G
Grant Number
H80CS02331
Additional Details
Current Program Status
Active
Registration Date
11/25/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/5/2013
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Heritage Health
Michael Baker, CEO
(208) 292-0256
Primary Contact
Dirne Health Centers, Inc
Monica Graybeal, Director of Pharmacy
(208) 292-0662
Addresses
Street Address
1090 W Park Pl
Coeur D Alene, ID 83814-2785
Billing Address
Dirne Health Centers, Inc.
PO Box 1387
Hayden, ID 83835
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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