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DSH500088AX PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTER (Active)
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Main Details
Name
PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTER
Subdivision Name
VMC Specialty Care Clinics - - Child Psychiatry, Covington
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500088AX
Medicare Provider Number
500088
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/9/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/10/2025
Last Recertification Date
Contacts
Authorizing Official
Public Hospital District No 1 of King County
Jeannine Grinnell, Chief Executive and Financial Officer
(425) 690-3310
Primary Contact
Public Hospital District No. 1 of King County
Kenneth Kenyon, VP Pharmacy Services
(425) 690-3155
Addresses
Street Address
27500 168th Place SE
Covington, WA 98042-4931
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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