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CAH381320-00 Columbia Lutheran Charities DBA Columbia Memorial Hospital (Active)
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Main Details
Name
Columbia Lutheran Charities DBA Columbia Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381320-00
Medicare Provider Number
381320
Additional Details
Current Program Status
Active
Registration Date
8/16/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/22/2011
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Columbia Memorial Hospital
Chris Laman, Vice President of Strategy
(503) 338-7505
Primary Contact
Columbia Memorial Hospital
Jeffrey Chow, Outpatient Pharmacy Manager
(503) 738-3006
Addresses
Street Address
2111 Exchange Street
Astoria, OR 97103-3329
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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