2 associated locations — data as of November 12, 2026
Critical access hospital · Jerome, ID
ST LUKE'S JEROME FIFTH AVE CLINIC - ST LUKES ENT AND FACIAL PLASTIC SURGERY-JEROME
Filed under St Luke's Jerome, Ltd., which files the Medicare cost report for this system.
Taking partNoTermination date filedJanuary 1, 2022Last certifiedSeptember 13, 2021
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- July 1, 2018In 340B since
ST LUKE'S JEROME FIFTH AVE CLINIC - ST LUKES ENT AND FACIAL PLASTIC SURGERY-JEROME among Idaho Critical access hospital registrations
Idaho has 122 active Critical access hospital registrations in the HRSA 340B register. CAH131310-05 began participating on July 1, 2018; 64 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 W., 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
- July 1, 2018
- Termination date
- January 1, 2022
- Termination reason
- Business decision by the Covered Entity
- Certification date
- September 13, 2021
- Record last edited
- January 1, 2022
Identifiers
- 340B ID
- CAH131310-05
- Entity type as filed
- CAH
- CMS certification number
- 131310
- Rural
- Yes
115 5th Ave W., Jerome ID 83338
Associated locations
| ST LUKE'S JEROME FIFTH AVE CLINIC - ST LUKES ENT AND FACIAL PLASTIC SURGERY-JEROME | 115 5th Ave W. | Jerome ID 83338 |
| St. Luke's Jerome LTD | Attn: Pharmacy, 709 N LINCOLN AVENUE | 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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