340B Drug Pricing Program Database
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CAH381313-00 St. Charles Health System, Inc., d/b/a St. Charles Prineville (Active)
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Main Details
Name
St. Charles Health System, Inc., d/b/a St. Charles Prineville
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381313-00
Medicare Provider Number
381313
Additional Details
Current Program Status
Active
Registration Date
5/23/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
St. Charles Health System
Matt Swafford, SVP and CFO
(541) 706-7707
Primary Contact
St. Charles Health System
Jennifer Beth Stubblefield, Pharmacy Revenue Integrity Specialist
(541) 706-6978
Addresses
Street Address
384 SE Combs Flat Road
Prineville, OR 97754
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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