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CHC26601-14 FULL CIRCLE HEALTH, INC. (Active)
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Main Details
Name
FULL CIRCLE HEALTH, INC.
Subdivision Name
Full Circle Health - Caldwell
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036680
340B ID
CHC26601-14
Grant Number
H80CS26601
Additional Details
Current Program Status
Active
Registration Date
8/21/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/22/2023
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
315 E Elm St # 201
Caldwell, ID 83605-4857
Billing Address
Full Circle Health - Emerald
6565 W Emerald St
Boise, ID 83704
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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