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CAH381314-02 SAMARITAN PACIFIC HEALTH SERVICES, INC., DBA SAMARITAN PACIFIC COMMUNITIES HOSPITAL (Active)
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Main Details
Name
SAMARITAN PACIFIC HEALTH SERVICES, INC., DBA SAMARITAN PACIFIC COMMUNITIES HOSPITAL
Subdivision Name
SPCH Toledo Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381314-02
Medicare Provider Number
381314
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/31/2012
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Samaritan Health Services
Daniel Smith, VP Finance/CFO
(541) 768-5390
Primary Contact
Samaritan Lebanon Community Hospital
Daniel Rackham, Chief Executive Officer
(541) 451-7914
Addresses
Street Address
199 West Hwy 20
Toledo, OR 97391
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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May 2025
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