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CH10016AM Community Health Clinics, Inc. (Active)
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Main Details
Name
Community Health Clinics, Inc.
Subdivision Name
Caldwell Cleveland Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031542
340B ID
CH10016AM
Grant Number
H80CS00636
Additional Details
Current Program Status
Active
Registration Date
12/15/2020
Participating Start Date
12/16/2020
Participating Approval Date
12/16/2020
Last Recertification Date
2/14/2025
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
808 Cleveland Blvd
Caldwell, ID 83605-4149
Billing Address
Terry Reilly Health Services
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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