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CAH381323-00 MID-VALLEY HEALTHCARE, INC. DBA SAMARITAN LEBANON COMMUNITY HOSPITAL (Active)
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Main Details
Name
MID-VALLEY HEALTHCARE, INC. DBA SAMARITAN LEBANON COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381323-00
Medicare Provider Number
381323
Additional Details
Current Program Status
Active
Registration Date
8/2/2010
Participating Start Date
8/4/2010
Participating Approval Date
8/2/2010
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Samaritan Health Services
Daniel Smith, VP Finance/CFO
(541) 768-5390
Primary Contact
Samaritan Lebanon Community Hospital
Daniel Rackham, Chief Executive Officer
(541) 451-7914
Addresses
Street Address
525 N. SANTIAM HWY
LEBANON, OR 97355
Billing Address
SAMARITAN HEALTH SERVICES, INC.
PO BOX 3000
CORVALLIS, OR 97339
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/08/11 REMOVEDNPI#(WAS 1689625980)
03/08/2011
April 2025
April 2025
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