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| Issue Date FY: 2023 ( Subtotal = -$261,271 ) |
| 2023 | 2021 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | Boise | ID | 83702 | ADA | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 6 | 1 | 12/14/2022 | SUPPLEMENT FOR EXPANSION | -$3 |
| 2023 | 2021 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | Boise | ID | 83702 | ADA | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 5 | 1 | 11/9/2022 | SUPPLEMENT FOR EXPANSION | -$261,268 |
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| Issue Date FY: 2021 ( Subtotal = $1,764,941 ) |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | Boise | ID | 83702 | ADA | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 2 | 1 | 1/22/2021 | SUPPLEMENT FOR EXPANSION | $452,001 |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | Boise | ID | 83702 | ADA | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 1 | 1 | 12/30/2020 | NEW | $82,246 |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | Boise | ID | 83702 | ADA | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 3 | 1 | 4/7/2021 | SUPPLEMENT FOR EXPANSION | $441,235 |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | Boise | ID | 83702 | ADA | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 0 | 1 | 10/9/2020 | NEW | $348,223 |
| 2021 | 2021 | Health and Welfare, Idaho Department of | 450 W STATE 10TH FL | Boise | ID | 83702 | ADA | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 4 | 1 | 7/6/2021 | SUPPLEMENT FOR EXPANSION | $441,236 |
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