Children’s hospital · ID
Family Medicine Residency Of Idaho
- 0Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- 19 June 2020In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “Family Medicine Residency Of Idaho” (340B ID CHC26601-10), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CHC26601-10
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 19 June 2020
- Termination date
- 1 October 2021
- Termination reason
- Other
- Certification date
- 11 February 2021
- Record last edited
- 6 January 2022
Identifiers
- 340B ID
- CHC26601-10
- Entity type as filed
- CH
- Site ID
- BPS-H80-030683
- Grant number
- H80CS26601
- NPI
- 1710525829 (ID), 1841490075 (ID,OR), 1891047791 (ID)
777 N Raymond St, Boise ID 83704
Associated locations
| Organization | Address | Where |
|---|---|---|
| Family Medicine Residency Of Idaho | 777 N Raymond St | Boise ID 83704 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.