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CAH381310-00 PIONEER MEMORIAL HOSPITAL (Active)
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Main Details
Name
PIONEER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381310-00
Medicare Provider Number
381310
Additional Details
Current Program Status
Active
Registration Date
1/8/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/10/2018
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
Morrow County Health District
Emily Dawn Roberts, Chief Executive Officer
(541) 676-2915
Primary Contact
Pioneer Memorial Hospital
Nicole Rene Mahoney, CFO
(541) 676-2925
Addresses
Street Address
564 E. PIONEER DRIVE
HEPPNER, OR 97836
Billing Address
Pioneer Memorial Hospital
PO BOX 9
Heppner, OR 97836
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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