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ALBANY GENERAL HOSPITAL
RRC380014-00 GOOD SAMARITAN HOSPITAL CORVALLIS
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Covered Entity Details
Entity Name
GOOD SAMARITAN HOSPITAL CORVALLIS
Subdivision Name
Type
Rural Referral Center
340B ID
RRC380014-00
Entity Address
3600 NW SAMARITAN DRIVE
CORVALLIS, OR 97330
Medicare Provider Number
380014
Participating Start Date
10/1/2018
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
ALBANY GENERAL HOSPITAL
Pharmacy Address
GEARY STREET CLINIC PHARMACY
1700 GEARY STREET SE
ALBANY, OR 97322
Pharmacy Comments
updated zip (was 97321)
Contract Details
Approval Date
8/20/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Smith, VP Finance/CFO
(541) 768-5390
Contract Pharmacy Representative
Samaritan Health Services
Cody Aichele, Outpatient Pharmacy Supervisor
(541) 768-6095
Signed By Date
8/20/2018
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