340B Drug Pricing Program Database
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CAH381315-00 ST. ALPHONSUS MEDICAL CENTER BAKER CITY (Active)
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Main Details
Name
ST. ALPHONSUS MEDICAL CENTER BAKER CITY
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381315-00
Medicare Provider Number
381315
Additional Details
Current Program Status
Active
Registration Date
4/7/2011
Participating Start Date
7/1/2011
Participating Approval Date
4/27/2011
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Saint Alphonsus Health System
Lannie Checketts, RHM CFO Idaho Oregon Region
(208) 367-7347
Primary Contact
Trinity Health
Carisa Ann McGehee, 340B Analyst
(208) 367-2087
Addresses
Street Address
3325 POCAHONTAS ROAD
BAKER CITY, OR 97814
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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