340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH381325-12 GOOD SHEPHERD MEDICAL CENTER (Active)
Print
Main Details
Name
GOOD SHEPHERD MEDICAL CENTER
Subdivision Name
GOOD SHEPHERD MEDICAL GROUP PHYSICAL MEDICINE AND REHABILITATION CLINIC - PHYSICAL MEDICINE AND REHABILITATION CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH381325-12
Medicare Provider Number
381325
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/19/2020
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Good Shepherd Medical Center
Art Mathisen, President/CEO
(541) 667-3409
Primary Contact
Good Shepherd Medical Center
John Eric Adams, Director of Pharmacy Services
(541) 667-3647
Addresses
Street Address
1050 W. Elm
SUITE 160
HERMISTON, OR 97838-6601
Billing Address
Good Shepherd Medical Center
610 N.W. 11th Street
Pharmacy Department
Hermiston, OR 97838
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