340B Drug Pricing Program Database
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DSH380021M TUALITY HEALTHCARE (Terminated)
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Main Details
Name
TUALITY HEALTHCARE
Subdivision Name
Center for Geriatric Psychiatry
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380021M
Medicare Provider Number
380021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/1/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/26/2012
Last Recertification Date
8/15/2016
Termination Date
Termination Reason
1/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Tuality Healthcare
Lori K James-Nielsen, President
(503) 681-1177
Primary Contact
Tuality Healthcare
Kevin Declercque, Director of Pharmacy
(503) 681-1041
Addresses
Street Address
3201 19th Ave Ste E
Forest Grove, OR 97116
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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