340B Drug Pricing Program Database
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DSH500003BS SKAGIT VALLEY HOSPITAL (Active)
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Main Details
Name
SKAGIT VALLEY HOSPITAL
Subdivision Name
Mount Vernon Surgery Center - Post Op
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500003BS
Medicare Provider Number
500003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/29/2024
Last Recertification Date
Contacts
Authorizing Official
Public Hospital District No. 1, Skagit County, dba Skagit Regional Health
Tamara L Cesena, Chief Financial Officer
(360) 445-8512
Primary Contact
Skagit Valley Hospital
Alma K Martinez, 340B Program Manager
(360) 814-5001
Addresses
Street Address
211 S 13th St
Mount Vernon, WA 98274
Billing Address
Skagit Regional Health
P.O. Box 1376
Mount Vernon, WA 98274
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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