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DSH380022G SAMARITAN ALBANY GENERAL HOSPITAL (Terminated)
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Main Details
Name
SAMARITAN ALBANY GENERAL HOSPITAL
Subdivision Name
SAGH Internal Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH380022G
Medicare Provider Number
380022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/18/2012
Last Recertification Date
9/8/2020
Termination Date
Termination Reason
1/1/2021
Site closure
Contacts
Authorizing Official
Samaritan Albany General Hospital
DANIEL B. SMITH, VP FINANCE/CFO
(541) 768-5390
Primary Contact
Samaritan Health Services
Joy R Douglas, Rx data Coordinator - 340B Contract Pharmacy
(541) 768-6867
Addresses
Street Address
1086 Southwest 7th Street
Albany, OR 97321
Billing Address
Samaritan Health Services, Inc.
PO BOX 3000
Corvallis, OR 97339
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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