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| Issue Date FY: 2021 ( Subtotal = $88,276 ) |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | BOISE | ID | 83702 | ADA | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 6 | 1 | 10/7/2020 | NEW | $88,276 |
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| Issue Date FY: 2020 ( Subtotal = -$37,913 ) |
| 2020 | 2020 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | BOISE | ID | 83702 | ADA | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 4 | 1 | 12/20/2019 | NEW | $50,363 |
| 2020 | 2019 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | BOISE | ID | 83702 | ADA | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 5 | 1 | 2/25/2020 | NEW | -$88,276 |
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| Issue Date FY: 2019 ( Subtotal = $1,379,851 ) |
| 2019 | 2019 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | BOISE | ID | 83702 | ADA | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 1 | 1 | 2/4/2019 | NEW | $326,477 |
| 2019 | 2019 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | BOISE | ID | 83702 | ADA | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 0 | 1 | 10/3/2018 | NEW | $327,659 |
| 2019 | 2019 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | BOISE | ID | 83702 | ADA | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 2 | 1 | 4/26/2019 | NEW | $334,052 |
| 2019 | 2019 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | BOISE | ID | 83702 | ADA | USA | State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid | 3 | 1 | 9/10/2019 | NEW | $391,663 |
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