340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH380056 SANTIAM MEMORIAL HOSPITAL (Active)
Print
Main Details
Name
SANTIAM MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380056
Medicare Provider Number
380056
Additional Details
Current Program Status
Active
Registration Date
4/8/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/19/2021
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Santiam Memorial Hospital
Maggie Ann Hudson, CEO
(503) 769-9236
Primary Contact
Santiam Memorial Hospital
Tiffanie Ann Pye, Chief Operations Officer
(503) 769-2852
Addresses
Street Address
1401 NORTH 10TH AVE
STAYTON, OR 97383
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating Start Date 7/1/2020, Termination 10/1/2020, Reinstatement 7/1/2021
04/19/2021
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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