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CAH381315-06 ST. ALPHONSUS MEDICAL CENTER BAKER CITY (Active)
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Main Details
Name
ST. ALPHONSUS MEDICAL CENTER BAKER CITY
Subdivision Name
SAMG General Surgery Baker City / General Surgery
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381315-06
Medicare Provider Number
381315
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/23/2016
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Saint Alphonsus Health System
Lannie Checketts, RHM CFO Idaho Oregon Region
(208) 367-7347
Primary Contact
Trinity Health
Carisa Ann McGehee, 340B Analyst
(208) 367-2087
Addresses
Street Address
3325 Pocahontas Road
Baker City, OR 97814-1464
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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