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DSH380018B ASANTE ROGUE REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ASANTE ROGUE REGIONAL MEDICAL CENTER
Subdivision Name
Mary & Dick Heimann Cancer Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH380018B
Medicare Provider Number
380018
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/2/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/23/2021
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Asante
Heather Rowenhorst, CFO
(541) 789-5098
Primary Contact
Asante
Ruthie Nguyen, Manager Pharmacy Shared Services
(541) 789-5379
Addresses
Street Address
3011 E. Barnett Rd
Medford, OR 97504
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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