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CAH381315-04 ST. ALPHONSUS MEDICAL CENTER BAKER CITY (Terminated)
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Main Details
Name
ST. ALPHONSUS MEDICAL CENTER BAKER CITY
Subdivision Name
SAMG Valley Medical Clinic / Family Practice
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381315-04
Medicare Provider Number
381315
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/15/2016
Last Recertification Date
Termination Date
Termination Reason
1/1/2017
Site closure
Contacts
Authorizing Official
Saint Alphonsus Health System
Lannie Checketts, RHM CFO Idaho Oregon Region
(208) 367-7347
Primary Contact
Saint Alphonsus Health System
Mark Phillips, AVP Prof Services/Director SAHS Pharmacy
(208) 367-4943
Addresses
Street Address
3820 17th Street
Baker City, OR 97814-1323
Billing Address
Saint Alphonsus Medical Center Baker City
3325 Pocahontas
Baker City, OR 97814-1464
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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