340B Drug Pricing Program Database
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CHC26601-02 Full Circle Health, Inc. (Terminated)
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Main Details
Name
Full Circle Health, Inc.
Subdivision Name
Full Circle Health - Meridian Schools Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013174
340B ID
CHC26601-02
Grant Number
H80CS26601
Additional Details
Current Program Status
Terminated
Registration Date
2/28/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/28/2014
Last Recertification Date
2/14/2023
Termination Date
Termination Reason
7/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Family Medicine Residency of Idaho
Tad Arnt, Chief Operating Officer
(208) 514-2500 Ext: 1104
Primary Contact
Family Medicine Residency of Idaho
Jared L Moore, Director of Pharmacy
(208) 514-2500 Ext: 7040
Addresses
Street Address
925 NW 1st St
Meridian, ID 83642-9022
Billing Address
Full Circle Health
6565 W Emerald Street
Boise, ID 83704
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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