340B Drug Pricing Program Database
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DSH500027BS SWEDISH MEDICAL CENTER (Active)
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Main Details
Name
SWEDISH MEDICAL CENTER
Subdivision Name
Swedish First Hill - Anticoagulation and Pharmacotherapy, Cherry Hill Campus/1202.12113
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH500027BS
Medicare Provider Number
500027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/23/2024
Last Recertification Date
Contacts
Authorizing Official
Swedish Medical Center First Hill
Eric M Delgado, Chief Financial Officer
(562) 243-3861
Primary Contact
Providence/Swedish
Melisa G Lea, 340B Program Manager
(206) 756-0546
Addresses
Street Address
500 17th Ave
Room 139W
Seattle, WA 98122
Billing Address
Providence St Joseph Health
PO BOX 31263
Salt Lake City, UT 84131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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