340B Drug Pricing Program Database
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CHC26601-04 Full Circle Health, Inc. (Active)
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Main Details
Name
Full Circle Health, Inc.
Subdivision Name
Full Circle Health - Emerald
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018070
340B ID
CHC26601-04
Grant Number
H80CS26601
Additional Details
Current Program Status
Active
Registration Date
10/10/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/16/2014
Last Recertification Date
2/13/2025
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
6565 W Emerald St
Boise, ID 83704-8737
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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