340B Drug Pricing Program Database
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CAH381308-00 Salem Health West Valley (Active)
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Main Details
Name
Salem Health West Valley
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH381308-00
Medicare Provider Number
381308
Additional Details
Current Program Status
Active
Registration Date
10/12/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/22/2015
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Salem Health
Cory Rahn, Director of Pharmacy
(503) 814-0410
Primary Contact
Salem Health
Greg Hamilton, 340B Coordinator
(503) 814-2047
Addresses
Street Address
525 SE WASHINGTON STREET
DALLAS, OR 97338-0378
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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