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DSH380002 THREE RIVERS MEDICAL CENTER (Active)
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Main Details
Name
THREE RIVERS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380002
Medicare Provider Number
380002
Additional Details
Current Program Status
Active
Registration Date
1/12/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/12/2015
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Asante
Heather Rowenhorst, CFO
(541) 789-5098
Primary Contact
Asante
Ruthie Nguyen, Manager Pharmacy Shared Services
(541) 789-5379
Addresses
Street Address
500 S.W. RAMSEY AVE
GRANTS PASS, OR 97527
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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