340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH051328-08 TAHOE FOREST HOSPITAL (Terminated)
Print
Main Details
Name
TAHOE FOREST HOSPITAL
Subdivision Name
Tahoe Forest MultiSpecialty Clinic / Urology
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH051328-08
Medicare Provider Number
051328
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/21/2017
Last Recertification Date
12/4/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
TAHOE FOREST HOSPITAL DISTRICT
CRYSTAL BETTS, CHIEF FINANCIAL OFFICER
(530) 582-6656
Primary Contact
Tahoe Forest Hospital District
Anthony Scott Cooper, Director of Pharmacy
(530) 582-6465
Addresses
Street Address
10956 Donner Pass Road, Suite 330
Truckee, CA 96161
Billing Address
Tahoe Forest Hospital District
P.O. Box 759
Truckee, CA 96160
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session