340B Drug Pricing Program Database
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DSH380102B SHMC-RIVERBEND (Active)
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Main Details
Name
SHMC-RIVERBEND
Subdivision Name
PEACEHEALTH SHMC REGIONAL INFUSION CENTER - INTRAVENOUS THERAPY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380102B
Medicare Provider Number
380102
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/7/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/23/2019
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 DRIVE
502
SPRINGFIELD, OR 97477
Billing Address
PEACEHEALTH
1115 SE 164TH AVENUE
VANCOUVER, WA 98683
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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