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CH10016AF COMMUNITY HEALTH CLINICS, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH CLINICS, INC.
Subdivision Name
CENTENNIAL JOB CORPS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002851
340B ID
CH10016AF
Grant Number
H80CS00636
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/16/2015
Last Recertification Date
2/12/2019
Termination Date
Termination Reason
10/1/2019
Site closure
Contacts
Authorizing Official
Terry Reilly Health Services
Heidi Hart, CEO
(208) 318-1255
Primary Contact
Terry Reilly Health Services
Jeff K Larsen, Director of Business Management
(208) 318-1280
Addresses
Street Address
1301 RIDGECREST DR
NAMPA, ID 83651
Billing Address
Terry Reilly Health Services
PO Box 9
Nampa, ID 83653
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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