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CH10016AA COMMUNITY HEALTH CLINICS, INC. (Active)
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Main Details
Name
COMMUNITY HEALTH CLINICS, INC.
Subdivision Name
Terry Reilly Latah Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001972
340B ID
CH10016AA
Grant Number
H80CS00636
Additional Details
Current Program Status
Active
Registration Date
1/2/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/20/2015
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Terry Reilly Health Services
Heidi Hart, CEO
(208) 318-1255
Primary Contact
Terry Reilly Health Services
Cena Phillips, 340B Operations Analyst
(208) 318-1313
Addresses
Street Address
848 LA CASSIA DR
BOISE, ID 83705-2253
Billing Address
Terry Reilly Health Services
211 16th Avenue North
PO Box 9
Nampa, ID 83653
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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