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DSH380002A THREE RIVERS MEDICAL CENTER (Active)
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Main Details
Name
THREE RIVERS MEDICAL CENTER
Subdivision Name
Spears Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380002A
Medicare Provider Number
380002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/26/2015
Last Recertification Date
8/13/2024
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
510 SW Ramsey Avenue
Grants Pass, OR 97527
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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