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DSH380021Q TUALITY HEALTHCARE (Terminated)
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Main Details
Name
TUALITY HEALTHCARE
Subdivision Name
TFG Outpatient / Acute Care services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380021Q
Medicare Provider Number
380021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
11/17/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
Tuality Healthcare
Lori K James-Nielsen, President
(503) 681-1177
Primary Contact
Tuality Healthcare DBA OHSU HIllsboro Medical Center
Ann L Anthony, Director of Pharmacy
(503) 681-1041
Addresses
Street Address
1809 Maple Str
Forest Grove, OR 97116
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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