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PEACEHEALTH RIVERBEND OUTPATIENT PHARMAC
CAH381301-00 COTTAGE GROVE COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
COTTAGE GROVE COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381301-00
Entity Address
1515 VILLAGE DRIVE
COTTAGE GROVE, OR 97424-9700
Medicare Provider Number
381301
Participating Start Date
4/1/2017
Last Recertification Date
8/16/2024
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
12/5/2011
Contract Begin Date
12/5/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Contacts
Covered Entity Signing Official
Wendy Apland, CFO
(541) 222-2007
Contract Pharmacy Representative
Cottage Grove Community Hospital
Tim Herrmann, VP Patient Care Services
(541) 767-5201
Signed By Date
11/22/2011
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