Covered Entity Details

DSH380021AJ TUALITY HEALTHCARE (Active) - information as of 4/25/2025 8:32:58 PM

Main Details

Name

TUALITY HEALTHCARE

Subdivision Name

TUA TOPS INTRA OP LOC - TOPS INTRA OP

Type

Disproportionate Share Hospital

Rural

340B ID

DSH380021AJ

Medicare Provider Number

380021

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

1/13/2023

Participating Start Date

4/1/2023

Participating Approval Date

2/9/2023

Last Recertification Date

8/29/2024

Contacts

Authorizing Official

Tuality Healthcare
Lori K James-Nielsen, President
(503) 681-1177

Primary Contact

Tuality Healthcare
Brigg Turner, Director of Pharmacy
(503) 681-1049

Addresses

Street Address

335 SE 7th Ave
Hillsboro, OR 97123

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
OR	198606	1275591984

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH380021A	Child	DSH	TUALITY HEALTHCARE	Hillsboro Hematology & Oncology Clinic	364 SE 8th Ave	Hillsboro	OR	Active
DSH380021AA	Child	DSH	TUALITY HEALTHCARE	Tuality Healthcare Neurology Clinic	7545 SE Tualatin Valley Highway	Hillsboro	OR	ToBeTerminated
DSH380021AB	Child	DSH	TUALITY HEALTHCARE	Tuality Neurosurgery Clinic - Neurosurgery	333 SE 7th Avenue	Hillsboro	OR	ToBeTerminated
DSH380021AC	Child	DSH	TUALITY HEALTHCARE	Tuality Orthopedic and Rehabilitation - Orthopedic	1200 NE 48th Ave	Hillsboro	OR	Active
DSH380021AD	Child	DSH	TUALITY HEALTHCARE	Tuality Preoperative Assessment Clinic - Pre-operative Assessment	333 SE 7th Avenue	Hillsboro	OR	Active
DSH380021AE	Child	DSH	TUALITY HEALTHCARE	Tuality Home Health - Home nursing and rehabilitation	372 SE 6th Avenue	Hillsboro	OR	Terminated
DSH380021AF	Child	DSH	TUALITY HEALTHCARE	Tuality AntiCoagulation Clinic - AntiCoagulation	364 SE 8th Ave	Hillsboro	OR	Active
DSH380021AG	Child	DSH	TUALITY HEALTHCARE	South Hillsboro Primary Care - Primary Care	7529 SE Tualatin Valley Hwy	Hillsboro	OR	ToBeTerminated
DSH380021AH	Child	DSH	TUALITY HEALTHCARE	Forest Grove Primary Care - Primary Care	1825 Maple Street	Forest Grove	OR	ToBeTerminated
DSH380021AJ	Child	DSH	TUALITY HEALTHCARE	TUA TOPS INTRA OP LOC - TOPS INTRA OP	335 SE 7th Ave	Hillsboro	OR	Active
DSH380021AK	Child	DSH	TUALITY HEALTHCARE	TUA TOPS OR - TOPS OR	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021AL	Child	DSH	TUALITY HEALTHCARE	TUA GENERAL RAD REED - GENERAL RAD	7545 SE Tualatin Valley Hwy	Hillsboro	OR	ToBeTerminated
DSH380021AM	Child	DSH	TUALITY HEALTHCARE	TUA CARDIOLOGY 7TH - CARDIOLOGY 7TH	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021AN	Child	DSH	TUALITY HEALTHCARE	TUA CT SCAN 7TH - CT SCAN 7TH	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021AP	Child	DSH	TUALITY HEALTHCARE	TUA MRI 7TH - MRI 7TH	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021AQ	Child	DSH	TUALITY HEALTHCARE	TUA ULTRASOUND 7TH - ULTRASOUND 7TH	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021AR	Child	DSH	TUALITY HEALTHCARE	TUA GENERAL RAD FG - GENERAL RAD FG	1825 Maple St	Forest Grove	OR	ToBeTerminated
DSH380021AS	Child	DSH	TUALITY HEALTHCARE	TUA CARDIAC REHAB 48TH - CARDIAC REHAB 48TH	1200 NE 48th Ave	Hillsboro	OR	Active
DSH380021AT	Child	DSH	TUALITY HEALTHCARE	TUA ECHO - ECHO	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021B	Child	DSH	TUALITY HEALTHCARE	Westside Medical Clinic	21255 NW Jacobson Rd #500	Hillsboro	OR	Terminated
DSH380021C	Child	DSH	TUALITY HEALTHCARE	Tuality OB/GYN clinic	364 SE 8th Ave	Hillsboro	OR	Active
DSH380021D	Child	DSH	TUALITY HEALTHCARE	Tuality Digestive Health and Surgery Clinic	333 SE 7th Ave	Hillsboro	OR	ToBeTerminated
DSH380021E	Child	DSH	TUALITY HEALTHCARE	Westside Urology Associates	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021F	Child	DSH	TUALITY HEALTHCARE	Hillsboro Endocrine Clinic	364 SE 8th Ave	Hillsboro	OR	Active
DSH380021G	Child	DSH	TUALITY HEALTHCARE	Tuality Physical Medicine & Electro	1200 NE 48th Ave	Hillsboro	OR	Active
DSH380021H	Child	DSH	TUALITY HEALTHCARE	Tuality Pulmonary & Sleep Medicine	364 SE 8th Ave	Hillsboro	OR	Active
DSH380021J	Child	DSH	TUALITY HEALTHCARE	Hillsboro Internal Medicine	364 SE 8th Ave	Hillsboro	OR	Active
DSH380021K	Child	DSH	TUALITY HEALTHCARE	Tuality Hematology & Oncology Clinic	364 SE 8th Ave	Hillsboro	OR	Active
DSH380021L	Child	DSH	TUALITY HEALTHCARE	Orenco Station Medical Group	6355 NE Cornell Rd	Hillsboro	OR	Active
DSH380021M	Child	DSH	TUALITY HEALTHCARE	Center for Geriatric Psychiatry	3201 19th Ave Ste E	Forest Grove	OR	Terminated
DSH380021N	Child	DSH	TUALITY HEALTHCARE	Tuality Urgent Care at Reedsville	7545 SE Tualatin Valley Hwy	Hillsboro	OR	Terminated
DSH380021P	Child	DSH	TUALITY HEALTHCARE	Tuality Forest Grove Urgency Care	1809 Maple St.	Forest Grove	OR	Terminated
DSH380021Q	Child	DSH	TUALITY HEALTHCARE	TFG Outpatient / Acute Care services	1809 Maple Str	Forest Grove	OR	Terminated
DSH380021R	Child	DSH	TUALITY HEALTHCARE	7th Ave Diagnostic Imaging Service	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021S	Child	DSH	TUALITY HEALTHCARE	Breast Health Services	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021T	Child	DSH	TUALITY HEALTHCARE	Cardiac Endovascular Care Unit (CECU)	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021U	Child	DSH	TUALITY HEALTHCARE	Tuality Catheterization Laboratory / Cath Lab	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021V	Child	DSH	TUALITY HEALTHCARE	Tuality Outpatient Surgery Unit	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021W	Child	DSH	TUALITY HEALTHCARE	GI Lab	333 SE 7th Ave	Hillsboro	OR	Active
DSH380021X	Child	DSH	TUALITY HEALTHCARE	Physical Therapy and Sports Rehab	2333 Pacific Ave.	Forest Grove	OR	Active
DSH380021Y	Child	DSH	TUALITY HEALTHCARE	Tuality Healthplace / Physical Therapy	1200 NE 48th Ave.	Hillsboro	OR	Active
DSH380021Z	Child	DSH	TUALITY HEALTHCARE	Sunset Family Health Center	10395 NW Glencoe Rd.	North Plains	OR	ToBeTerminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	PC Change Request	Zanon, Jennifer Director Pharmacy Services; Regulatory Compliance OHSU 5034181286	Turner, Brigg Director of Pharmacy Tuality Healthcare 5036811049	8/29/2024 12:50 PM
Details	Last Recertification Date	Update	Recertification	9/7/2023 1:52:39 PM	8/29/2024 12:49:56 PM	8/29/2024 12:49 PM
Details	Last Recertification Date	Update	Recertification		9/7/2023 1:52:39 PM	9/7/2023 1:52 PM
Contacts	Primary Contact	Update	Group Change Request	Elrody, Nehad Elrody Pharmacy Director OHSU HMC 5036811041	Zanon, Jennifer Director Pharmacy Services; Regulatory Compliance OHSU 5034181286	7/12/2023 7:42 AM
Details	State	Update		Approved	Active	4/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		James-Nielsen, Lori K President Tuality Healthcare 5036811177	2/9/2023 2:49 PM
Details	340B ID	Update	New Registration		DSH380021AJ	2/9/2023 2:49 PM
Details	Entity Subname	Update	New Registration	TUA TOPS INTRA OP LOC	TUA TOPS INTRA OP LOC - TOPS INTRA OP	2/9/2023 2:49 PM
Dates	Participating Approval Date	Update	New Registration		2/9/2023 2:49:17 PM	2/9/2023 2:49 PM
Details	State	Update	New Registration	Pending	Approved	2/9/2023 2:49 PM
Dates	Signed By Date	Update	New Registration		1/16/2023 2:49:18 PM	2/9/2023 2:49 PM
Dates	Start Date	Update	New Registration		4/1/2023 12:00:00 AM	2/9/2023 2:49 PM
Addresses	Main Address	Insert	New Registration		335 SE 7th Ave Hillsboro, OR 97123	1/13/2023 4:34 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	1/13/2023 4:34 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		198606	1/13/2023 4:34 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		OR	1/13/2023 4:34 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1275591984	1/13/2023 4:34 PM
Medicaid Billing	NPI: State	Insert	New Registration		OR	1/13/2023 4:34 PM
Contacts	Authorizing Official	Insert	New Registration		James-Nielsen, Lori K President Tuality Healthcare 5036811177	1/13/2023 4:34 PM
Contacts	Primary Contact	Insert	New Registration		Elrody, Nehad Elrody Pharmacy Director OHSU HMC 5036811041	1/13/2023 4:34 PM
Details	Assistance Received From Date	Insert	New Registration			1/13/2023 4:34 PM
Details	Assistance Received To Date	Insert	New Registration			1/13/2023 4:34 PM
Details	Last Recertification Date	Insert	New Registration			1/13/2023 4:34 PM
Details	Grant Number	Insert	New Registration			1/13/2023 4:34 PM
Details	340B ID	Insert	New Registration			1/13/2023 4:34 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/13/2023 4:34 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/13/2023 4:34 PM
Details	Medicare Provider Number	Insert	New Registration		380021	1/13/2023 4:34 PM
Details	Entity Name	Insert	New Registration		TUALITY HEALTHCARE	1/13/2023 4:34 PM
Details	NOFO Number	Insert	New Registration			1/13/2023 4:34 PM
Details	Program Code	Insert	New Registration		DSH	1/13/2023 4:34 PM
Details	Entity Subname	Insert	New Registration		TUA TOPS INTRA OP LOC	1/13/2023 4:34 PM
Dates	Participating Approval Date	Insert	New Registration			1/13/2023 4:34 PM
Details	State	Insert	New Registration		Pending	1/13/2023 4:34 PM
Dates	Registration Date	Insert	New Registration		1/13/2023 4:34:47 PM	1/13/2023 4:34 PM
Dates	Signed By Date	Insert	New Registration			1/13/2023 4:34 PM
Dates	Start Date	Insert	New Registration			1/13/2023 4:34 PM
Terminations	Termination Comments	Insert	New Registration			1/13/2023 4:34 PM
Terminations	Termination Date	Insert	New Registration			1/13/2023 4:34 PM
Terminations	Termination Effective Date	Insert	New Registration			1/13/2023 4:34 PM
Terminations	Termination Reason	Insert	New Registration			1/13/2023 4:34 PM