340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ST. LUKE'S NAMPA MEDICAL CENTER
SCH130002-00 St. Luke's Magic Valley Regional Medical Center, LTD
Print
Covered Entity Details
Entity Name
St. Luke's Magic Valley Regional Medical Center, LTD
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH130002-00
Entity Address
801 Pole Line Rd.West
Twin Falls, ID 83301
Medicare Provider Number
130002
Participating Start Date
7/1/2013
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
ST. LUKE'S NAMPA MEDICAL CENTER
Pharmacy Address
OUTPATIENT PHARMACY
9850 W ST LUKES DR
NAMPA, ID 83687
Pharmacy Comments
Contract Details
Approval Date
4/14/2021
Contract Begin Date
5/5/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Peter DiDio, Vice President, Controller
(208) 381-1251
Contract Pharmacy Representative
St. Luke's Nampa Medical Center, LTD
Steven Nadler, Pharmacy Outpatient Director
(208) 381-4354
Signed By Date
4/14/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session