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PEACEHEALTH RIVERBEND OUTPATIENT PHARMAC
DSH500030 ST. JOSEPH MEDICAL CENTER
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Covered Entity Details
Entity Name
ST. JOSEPH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500030
Entity Address
2901 SQUALICUM PARKWAY
BELLINGHAM, WA 98225-1851
Medicare Provider Number
500030
Participating Start Date
10/1/2018
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
PEACEHEALTH RIVERBEND OUTPATIENT PHARMAC
Pharmacy Address
PEACEHEALTH RIVERBEND OUTPATIENT PHARMAC
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Pharmacy Comments
03/06/2014 - Pharmacy name and address correction, changed in error on 3/28/2013, see history for details.
Contract Details
Approval Date
8/30/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DALE ZENDER, CEO
(360) 788-6313
Contract Pharmacy Representative
Peacehealth Employee Benefits Pharmacy
Vestalee Shrader, Pharmacist Manager
(541) 984-2185
Signed By Date
8/30/2018
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