340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH500150J LEGACY SALMON CREEK HOSPITAL (Active)
Print
Main Details
Name
LEGACY SALMON CREEK HOSPITAL
Subdivision Name
Legacy Salmon Creek Magnetic Resonance Imaging / MRI 600-3523
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500150J
Medicare Provider Number
500150
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/27/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/19/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Legacy Health
Kecia Kelly, SVP Chief Nursing Officer
(503) 415-5199
Primary Contact
Legacy Health
Elena Valcarlos, Pharmacy Systems Manager
(503) 413-7764
Addresses
Street Address
2101 NE 139th St
150
Vancouver, WA 98686
Billing Address
LEGACY SALMON CREEK MEDICAL CENTER
2211 NE 139TH ST
VANCOUVER, WA 98686
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
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