340B Drug Pricing Program Database
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DSH380002B THREE RIVERS MEDICAL CENTER (Active)
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Main Details
Name
THREE RIVERS MEDICAL CENTER
Subdivision Name
ASANTE THREE RIVERS MEDICAL CENTER / Outpatient surgery & Endoscopy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380002B
Medicare Provider Number
380002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/26/2016
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Asante
Heather Rowenhorst, CFO
(541) 789-5098
Primary Contact
Asante
Ruthie Nguyen, Manager Pharmacy Shared Services
(541) 789-5379
Addresses
Street Address
537 SW UNION AVE 3
GRANTS PASS, OR 97527-5543
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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