340B Drug Pricing Program Database
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DSH380102A SHMC-RIVERBEND (Active)
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Main Details
Name
SHMC-RIVERBEND
Subdivision Name
RiverBend Pavilion / O/P Gastro Endo Lab
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380102A
Medicare Provider Number
380102
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2017
Participating Start Date
10/1/2017
Participating Approval Date
8/1/2017
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
PeaceHealth
James McGovern, Chief Hospital Executive, Oregon
(541) 222-2303
Primary Contact
PeaceHealth
Adriane Kindell, 340B System Program Supervisor
(360) 414-2137
Addresses
Street Address
3377 RiverBend Dr.
Springfield, OR 97477
Billing Address
PeaceHealth System Services
1115 SE 164th Ave
Vancouver, WA 98683
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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