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CH101610 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-H80-001526
340B ID
CH101610
Grant Number
H80CS00473
Additional Details
Current Program Status
Active
Registration Date
10/1/1998
Participating Start Date
10/1/1998
Participating Approval Date
7/7/2010
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
486 W. FIRST AVE.
GLENNS FERRY, ID 83623
Billing Address
Desert Sage Health Centers
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 83647
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/7/10 UPDATED ADDR (WAS 516 W. FIRST AVE., GLENNS FERRY, 83623) (DUE TO 911 RENUMBERING)
07/07/2010
April 2025
April 2025
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