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DSH380090 BAY AREA HOSPITAL (Active)
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Main Details
Name
BAY AREA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH380090
Medicare Provider Number
380090
Additional Details
Current Program Status
Active
Registration Date
1/11/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/19/2022
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Bay Area Hospital
Brian Jones Moore, President and CEO
(541) 269-8124
Primary Contact
Bay Area Hospital
Joshua Joseph Davis, Director of Pharmacy
(541) 269-8490
Addresses
Street Address
1775 THOMPSON ROAD
COOS BAY, OR 97420-2125
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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