340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHC26601-06 FAMILY MEDICINE RESIDENCY OF IDAHO (Terminated)
Print
Main Details
Name
FAMILY MEDICINE RESIDENCY OF IDAHO
Subdivision Name
Family Medicine Health Center-Garden City
Type
HRSA-Funded Health Center
Site ID
BPS-H80-016923
340B ID
CHC26601-06
Grant Number
H80CS26601
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/17/2016
Last Recertification Date
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Family Medicine Residency of Idaho INC
Ted Epperly, President and CEO
(208) 954-8745
Primary Contact
Family Medicine Residency of Idaho, Inc. (The)
Sabrina Allen, Sr. Director of Pharmacy Services
(208) 514-2500 Ext: 7040
Addresses
Street Address
215 W 35th St
Garden City, ID 83714-6520
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session