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CH10161A GLENNS FERRY HEALTH CENTER, INC. (Active)
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Main Details
Name
GLENNS FERRY HEALTH CENTER, INC.
Subdivision Name
DESERT SAGE HEALTH CENTERS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035816
340B ID
CH10161A
Grant Number
H80CS00473
Additional Details
Current Program Status
Active
Registration Date
1/9/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/11/2017
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Glenns Ferry Health Centers dba Desert Sage Health Center
Amber Jordan, CEO
(208) 696-7157
Primary Contact
GLENNS FERRY HEALTH CENTER dba Desert Sage Health Centers
Sharlet K Wilson, Executive Assistant
(208) 696-7203
Addresses
Street Address
120 DESERT SAGE WAY
Mountain Home, ID 83647-3142
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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