340B Drug Pricing Program Database
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DSH130071 St. Luke's Nampa Medical Center (Active)
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Main Details
Name
St. Luke's Nampa Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH130071
Medicare Provider Number
130071
Additional Details
Current Program Status
Active
Registration Date
4/9/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/11/2019
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
St. Luke's Health System, LTD
Kate Fowler, Senior VP & CFO
(208) 381-8717
Primary Contact
St. Luke's Health System, LTD
Amanda Davis, Pharmacy Business Analyst
(208) 706-1021
Addresses
Street Address
9850 W ST LUKES DRIVE
Nampa, ID 83687
Billing Address
St. Luke's Health System, LTD
190 E Bannock St.
Boise, ID 83712
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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