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CAH381325-00 GOOD SHEPHERD MEDICAL CENTER (Active)
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Main Details
Name
GOOD SHEPHERD MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381325-00
Medicare Provider Number
381325
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
9/29/2010
Participating Approval Date
9/22/2010
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Good Shepherd Medical Center
Art Mathisen, President/CEO
(541) 667-3409
Primary Contact
Good Shepherd Medical Center
John Eric Adams, Director of Pharmacy Services
(541) 667-3647
Addresses
Street Address
610 N.W. 11TH STREET
HERMISTON, OR 97838
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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