340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH381316-00 PeaceHealth DBA Peace Harbor Medical Center (Active)
Print
Main Details
Name
PeaceHealth DBA Peace Harbor Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381316-00
Medicare Provider Number
381316
Additional Details
Current Program Status
Active
Registration Date
11/15/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/18/2010
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
PeaceHealth Peace Harbor Medical Center
Jason Hawkins, Chief Administrive Officer
(541) 902-6540
Primary Contact
PeaceHealth Peace Harbor Medical Center
DIANNA PIMLOTT, Director of Pharmacy and Outpatient Infusion Services
(541) 902-6070
Addresses
Street Address
400 9TH STREET
Attention Pharmacy Services Department
FLORENCE, OR 97439
Billing Address
PeaceHealth System Support Services
1115 SE 164th Avenue
Attention Accounts Payable
332
Vancouver, WA 98683
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
3/6/12 - Deleted medicaid #(000195) and NPI #(1982774378, 1578552402)
03/06/2012
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session