340B Drug Pricing Program Database
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CHC26601-07 Full Circle Health, Inc. (Active)
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Main Details
Name
Full Circle Health, Inc.
Subdivision Name
Full Circle Health - Nampa South
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020879
340B ID
CHC26601-07
Grant Number
H80CS26601
Additional Details
Current Program Status
Active
Registration Date
12/11/2017
Participating Start Date
1/1/2018
Participating Approval Date
12/13/2017
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Family Medicine Residency of Idaho
Tad Arnt, Chief Operating Officer
(208) 514-2500 Ext: 1104
Primary Contact
Family Medicine Residency of Idaho
Jared L Moore, Director of Pharmacy
(208) 514-2500 Ext: 7040
Addresses
Street Address
215 East Hawaii Ave Ste 140
Nampa, ID 83686-6011
Billing Address
Full Circle Health
6565 W Emerald Street
Boise, ID 83794
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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