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CAH381321-00 Grande Ronde Hospital, Inc. (Active)
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Main Details
Name
Grande Ronde Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381321-00
Medicare Provider Number
381321
Additional Details
Current Program Status
Active
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/22/2013
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Grand Ronde Hospital
Robert Seymour, CFO/Senior Director of Finance
(541) 963-1463
Primary Contact
Grande Ronde Hospital, Inc.
Hope A Murphy, Pharmacy Manager
(541) 963-1878
Addresses
Street Address
900 Sunset Drive
La Grande, OR 97850
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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