Memorial Medical Center

Restricted

Memorial Medical Center is subject to Restricted. See the individual lists below.

View Citation

Country

United States

Addresses

Address 1 : 465 McKenna Dr., Mountain Home, ID

Address 2 : 465 MCKENNA DRIVE

Address 3 : 465 MCKENNA DR , MOUNTAIN HOME , Idaho , United States , 86347

ID Details

ID NUMBER : S4MR3MBFK

ID TYPE : SAM Number

View Notes

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Memorial Medical Center Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
Suspended and Ineligible Provider List by California Department of Health Care Services	The California Department of Health Care Services	Jun 20, 2002	active
Medicaid Provider Exclusion List by Idaho Department of Health and Welfare	The Idaho Department of Health and Welfare	May 24, 2002	active
General List of Individuals/Entities Excluded from Federal Health and Medicare Programs	U.S. Department of Health and Human Services	May 20, 2002	active
U.S. General Services Administration (GSA) Parties Excluded	U.S. General Services Administration (GSA)	Aug 28, 2002	active