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CH10016AK Community Health Clinics, Inc. (Terminated)
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Main Details
Name
Community Health Clinics, Inc.
Subdivision Name
Caldwell Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030393
340B ID
CH10016AK
Grant Number
H80CS00636
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/21/2020
Last Recertification Date
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Terry Reilly Health Services
Heidi Hart, CEO
(208) 318-1255
Primary Contact
Community Health Clinics, Inc
Hollister A Henggeler, Pharmacy Director
(208) 318-1315
Addresses
Street Address
1916 Ellis Ave
Caldwell, ID 83605-4811
Billing Address
Community Health Clinics Inc
211 16th Avenue North
PO Box 9
Nampa, ID 83653
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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