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DSH380021AR TUALITY HEALTHCARE (ToBeTerminated)
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Main Details
Name
TUALITY HEALTHCARE
Subdivision Name
TUA GENERAL RAD FG - GENERAL RAD FG
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380021AR
Medicare Provider Number
380021
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
1/13/2023
Participating Start Date
4/1/2023
Participating Approval Date
3/2/2023
Last Recertification Date
8/29/2024
Termination Date
Termination Reason
7/1/2025
Site closure
Contacts
Authorizing Official
Tuality Healthcare
Lori K James-Nielsen, President
(503) 681-1177
Primary Contact
Tuality Healthcare
Brigg Turner, Director of Pharmacy
(503) 681-1049
Addresses
Street Address
1825 Maple St
Forest Grove, OR 97116
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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