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ACCREDO HEALTH GROUP, INC.
CAH381302-00 SAMARITAN NORTH LINCOLN HOSPITAL
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Covered Entity Details
Entity Name
SAMARITAN NORTH LINCOLN HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381302-00
Entity Address
3043 NE 28TH ST.
LINCOLN CITY, OR 97367
Medicare Provider Number
381302
Participating Start Date
8/3/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
7/16/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Smith, VP Finance/CFO
(541) 768-5390
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/16/2019
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