1 associated location — data as of November 12, 2026
Critical access hospital · JEROME, ID
FIFTH AVENUE CLINIC
Filed under St Luke's Jerome, Ltd., which files the Medicare cost report for this system.
Taking partNoTermination date filedJuly 1, 2017Last certifiedAugust 17, 2016
- 0Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- September 30, 2010In 340B since
FIFTH AVENUE CLINIC among Idaho Critical access hospital registrations
Idaho has 122 active Critical access hospital registrations in the HRSA 340B register. CAH131310-03 began participating on September 30, 2010; 2 of the Idaho registrations of its type began earlier. Jerome has 9 active registrations of every type.
Other 340B registrations in Jerome
- Family Health Services Corporation: HRSA-funded health center, CH10165AC, participating since April 1, 2022
- FAMILY HEALTH SERVICES CORPORATION: HRSA-funded health center, CH10165E, participating since January 1, 2004
- NORTH CANYON MEDICAL CENTER: Critical access hospital, CAH131302-03, participating since January 1, 2023
- St Luke's Jerome, Ltd.: Critical access hospital, CAH131310-00, participating since September 30, 2010
- St Luke's Jerome, Ltd.: Critical access hospital, CAH131310-01, participating since September 30, 2010
- St Luke's Jerome, Ltd.: Critical access hospital, CAH131310-04, participating since July 1, 2018
- St Luke's Jerome, Ltd.: Critical access hospital, CAH131310-07, participating since July 1, 2018
- St Luke's Jerome, Ltd.: Critical access hospital, CAH131310-08, participating since October 1, 2021
- St Luke's Jerome, Ltd.: Critical access hospital, CAH131310-09, participating since April 1, 2024
Across St Luke's Jerome, Ltd., 25 contract pharmacies are on file. This location is filed at 115 5TH AVE, WEST, JEROME ID 83338.
Finances, as filed
This record is a location registered under St Luke's Jerome, Ltd., which files the Medicare cost report. The finances are on that record.
Community benefit, as filed
This record is a location registered under St Luke's Jerome, Ltd.. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under St Luke's Jerome, Ltd.. Executive and director compensation is on that record.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- September 30, 2010
- Termination date
- July 1, 2017
- Termination reason
- Loss of qualifying grant/support
- Certification date
- August 17, 2016
- Record last edited
- May 17, 2017
Identifiers
- 340B ID
- CAH131310-03
- Entity type as filed
- CAH
- CMS certification number
- 131310
- Rural
- Yes
115 5TH AVE, WEST, JEROME ID 83338
Associated locations
| FIFTH AVENUE CLINIC | 115 5TH AVE, WEST | JEROME ID 83338 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261112_071011.xlsx, stamped by its publisher November 12, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261112_071011.xlsx, read November 12, 2026.
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