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CH10630K BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Sandpoint Pediatrics - Kaniksu Health Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014642
340B ID
CH10630K
Grant Number
H80CS00302
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/15/2015
Last Recertification Date
2/2/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Boundary Regional Community Health Center, Inc
Emma Keverkamp, Chief Financial Officer
(208) 263-7101 Ext: 2213
Primary Contact
Boundary Regional Community Health Center, Inc
Mary K Bluhm, Purchasing Specialist
(208) 448-2751
Addresses
Street Address
420 N SECOND AVE
SANDPOINT, ID 83864-1565
Billing Address
Boundary Regional Community Health Center dba Kaniksu Health Services
P O Box 2160
Sandpoint, ID 83864
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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