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DSH380022T SAMARITAN ALBANY GENERAL HOSPITAL (Active)
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Main Details
Name
SAMARITAN ALBANY GENERAL HOSPITAL
Subdivision Name
SAGH Imaging Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH380022T
Medicare Provider Number
380022
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/19/2016
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Samaritan Albany General Hospital
DANIEL B. SMITH, VP FINANCE/CFO
(541) 768-5390
Primary Contact
Samaritan Lebanon Community Hospital
Daniel Rackham, Chief Executive Officer
(541) 451-7914
Addresses
Street Address
400 Hickory Street NW
Suite 100
ALBANY, OR 97321-1700
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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June 2025
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