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SCH380001-00 Mid-Columbia Medical Center DBA Adventist Health Columbia Gorge (Active)
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Main Details
Name
Mid-Columbia Medical Center DBA Adventist Health Columbia Gorge
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH380001-00
Medicare Provider Number
380001
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/28/2010
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Adventist Health Columbia Gorge
Jayme Beth Thompson, Administrator
(541) 506-6941
Primary Contact
Adventist Health Columbia Gorge
Amanda Dawn Cummings, PharmD, Director of Pharmacy
(541) 296-7526
Addresses
Street Address
1700 E 19TH STREET
THE DALLES, OR 97058-3398
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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