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CH10817X DIRNE COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
DIRNE COMMUNITY HEALTH CENTER
Subdivision Name
Heritage Health - Restored Paths - St. Maries
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035938
340B ID
CH10817X
Grant Number
H80CS02331
Additional Details
Current Program Status
Active
Registration Date
1/2/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/3/2024
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
Heritage Health
Michael Baker, CEO
(208) 292-0256
Primary Contact
Dirne Health Centers, Inc
Monica Graybeal, Director of Pharmacy
(208) 292-0662
Addresses
Street Address
120 S. 13th St.
St Maries, ID 83861
Billing Address
Dirne Health Centers, INC
PO Box 1387
Hayden, ID 83835
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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